scholarly journals Revision with Locking Compression Plate by Compression Technique for Diaphyseal Nonunions of the Femur and the Tibia: A Retrospective Study of 54 Cases

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Peng Ding ◽  
Qiyu Chen ◽  
Changqing Zhang ◽  
Chen Yao
Keyword(s):  
Bone Grafting ◽  
Case Series ◽  
Good Alternative ◽  
Bone Transport ◽  
Locking Compression Plate ◽  
Treatment Modalities ◽  
Compression Technique ◽  
Compression Plate ◽  
Patient’S History ◽  
Compression Plating

Nonunion after diaphyseal fracture of the femur or the tibia is a common but difficult complication for treatment. Currently, the main treatment modalities include nail dynamization, exchange nailing, and bone transport, but revision with compression plating in these nonunions was rarely reported. To evaluate the outcomes of compression plating in the treatment of femur and tibia shaft nonunions, we retrospectively reviewed 54 patients with diaphyseal nonunion of the tibia or the femur treated with locking compression plate (LCP) by compression technique. There were 46 aseptic and 8 septic nonunions in the case series. Patient’s history, fracture characteristics, previous interventions, and types of nonunion were recorded. The possible reason which might lead to nonunion was also analyzed for each case. Patients with aseptic nonunions were revised by hardware removal and compression plating with or without bone grafting. For septic nonunions, a two-stage surgery strategy was used. Compression plating with iliac crest bone grafting (ICBG) or free vascularized fibular grafting (FVFG) was used as the final treatment for septic nonunions. The compression technique and bone grafting method were individualized in each case according to the patient’s history and architecture of the nonunion. Each patient finished at least a two-year follow-up, and all cases achieved healing uneventfully. Our study showed that compression plating with LCP was an effective method to treat diaphyseal nonunions of the tibia and the femur. It is compatible with different bone grafting methods for both infected and noninfected nonunions and is a good alternative to the current treatment methods for these nonunions.

scholarly journals Volar Fixation of Dorsally Displaced Distal Radial Fracture Using Locking Compression Plate

2005 ◽  
Vol 13 (2) ◽  
pp. 153-157 ◽  
Author(s):  
KK Wong ◽  
KW Chan ◽  
TK Kwok ◽  
KH Mak
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Locking Compression Plate ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Distal Radial Fractures ◽  
Compression Plate ◽  
One Year ◽  
Compression Plating ◽  
Unstable Fractures

Purpose. To evaluate the functional and radiological results of treating unstable fractures of the dorsal distal radius with a volar locking plate. Methods. Dorsally displaced distal radial fractures in 30 patients (11 men and 19 women; mean age, 58.6 years) were fixed by volar locking compression plate and followed up for a minimum of one year. Results. At final functional assessment, 24 patients achieved excellent and 5 achieved good outcomes, with one patient exhibiting fair results. Radiological scores demonstrated 22 excellent and 8 good outcomes. No nonunion or infection occurred. Conclusion. Volar locking compression plating is a safe and effective treatment for unstable fractures of the dorsal distal radius.

scholarly journals Locking compression plate in humeral shaft nonunion: a retrospective study of 18 cases

2016 ◽  
Vol 2 (3) ◽  
pp. 86
Author(s):  
Rajesh Govindasamy ◽  
Ramkumar Gnanasundaram ◽  
Saravanan Kasirajan ◽  
Fawas Thonikadavath ◽  
Jeff Walter Rajadurai
Keyword(s):  
Bone Grafting ◽  
Locking Compression Plate ◽  
Humeral Shaft ◽  
Radial Nerve Palsy ◽  
Functional Evaluation ◽  
Postoperative Function ◽  
Non Union ◽  
Humeral Shaft Nonunion ◽  
Compression Plate ◽  
The Mean

<p class="abstract"><strong>Background:</strong> Humeral shaft nonunions are frequently seen in Orthopaedic practice. Osteosynthesis with bone grafting is the treatment of choice. Locking compression plate (LCP) is the latest implant used in treating them. We retrospectively evaluated the outcome of use of LCP in humeral shaft non-union resulted by both conservative management and following failed internal fixations.</p><p class="abstract"><strong>Methods:</strong> Eighteen patients with nonunion of humeral shaft in which ten were treated by traditional bone setters and eight followed by failed internal fixation were included in these study. The mean duration of nonunion was 18.3 months (range 8-22).  The mean follow up period was 18 months (range 12-26). The mean age of patients was 44.4 years (range 22-60). All patients underwent osteosynthesis with LCP and autologoous cortico-cancellous iliac crest graft. The outcome measures include radiographic assessment of fracture union and preoperative and postoperative function using modified constant and murley scoring system.<strong></strong></p><p class="abstract"><strong>Results:</strong> All fractures united following osteosyntesis average time for union was15 weeks (range 10-24). We did not have any delayed union or non-union. The complications were superficial infection (n=1) and wound haematoma (n=1).Three patients with preoperative radial nerve palsy recovered at the end of four months. Functional evaluation using constant-murley score showed excellent result in 14, good in 3 and fair in 1. We did not have any poor results.</p><strong>Conclusions:</strong> LCP with cancellous bone grafting is a safe reliable option for all forms of humeral shaft nonunion. We recommend it.

scholarly journals CASE SERIES -A PROSPECTIVE STUDY OF FUNCTIONAL OUTCOME OF SUBTROCHANTERIC FEMORAL FRACTURES TREATED WITH PROXIMAL FEMORAL LOCKING COMPRESSION PLATE

2020 ◽  
pp. 1-3
Author(s):  
Ajay Krishna ◽  
Thiagrajan Pandian
Keyword(s):  
Functional Outcome ◽  
Case Series ◽  
Femoral Fractures ◽  
Good Method ◽  
The Elderly ◽  
Subtrochanteric Fracture ◽  
Locking Compression Plate ◽  
Bone Apposition ◽  
Femur Fractures ◽  
Compression Plate

Background and objective: Subtrochanteric fracture of femur and its complications account for significant morbidity and mortality especially in elderly.Proximal femoral locking compression plate helps in early Range of movements of the patient. Materials and Methods This study was done in SREE BALAJI MEDICAL COLLEGE AND HOSPITAL, CHROMEPETfrom August 2018 to May 2020.During this period 25 cases of adult patients with subtrochanteric fractures were treated with proximal femoral locking compression plate(PFLC). The classification used here was according to Seinsheimers and functional outcome was assessed using Traumatic hip rating score. Results: In our study of 25 patients 65% of them(16 patients) showed excellent results,30%(8 patients) showed good results,5%(1 patient)showed poor result due to Infection. Conclusion: Proximal femoral LCP is a good method for Subtrochanteric femur fractures in the elderly patients especially for severely communited fracture and with osteoporosis. Proximal femoral LCP gives the advantage of flexibility to surgeon to achieve angular stability or axial compression with plate to bone apposition.

In vitro biomechanical comparison of limited contact dynamic compression plate and locking compression plate

2005 ◽  
Vol 18 (04) ◽  
pp. 220-226 ◽  
Author(s):  
J. M. Manos ◽  
A. S. Orlansky ◽  
R. J. Todhunter ◽  
E. J. Trotter ◽  
M. C. H. van der Meulen ◽  
...  
Keyword(s):  
Dynamic Compression ◽  
Twist Angle ◽  
Biomechanical Testing ◽  
Good Alternative ◽  
Locking Compression Plate ◽  
Fracture Repair ◽  
Dynamic Compression Plate ◽  
Compression Plate ◽  
Biomechanical Comparison

SummaryThe locking compression plate (LCP) supports biological osteosynthesis by functioning as an internal fixator, rather than as a full or limited contact bone plate which must be adequately contoured and affixed directly to the bone for stable internal fixation of the fracture. In order to help justify the use of the LCP in our veterinary patients, in vitro biomechanical testing was performed comparing the LCP to the conventional limited contact dynamic compression plate (LC-DCP) in canine femurs. We hypothesized that the LCP construct would be at least as stiff under bending and torsional loads as the LC-DCP. The LCP and LC-DCP were applied over a 20-mm osteotomy gap to contralateral bones within each pair of 14 femora. Non-destructive four-point bending and torsion, and cyclical testing in torsion were performed. The constructs were then loaded to failure in torsion. In medial-lateral and lateral-medial structural bending, significant differences were not found between the LCP and LC-DCP, however, at the gap, the LCP construct was stiffer than the LC-DCP in lateral-medial bending. Significant differences in behaviour over time were not noted between the plate designs during cyclical testing. When loading the constructs to failure in internal rotation, the LC-DCP failed at a significantly lower twist angle (P = .0024) than the LCP. Based on the similar performance with loading, the locking compression plate is a good alternative implant for unstable diaphyseal femoral fracture repair in dogs.

scholarly journals A comparative study between proximal femur locking compression plate and dynamic hip screw fixation in management of pertrochanteric fracture

2019 ◽  
Vol 5 (4) ◽  
pp. 707
Author(s):  
Hemeshwar Harshwardhan ◽  
Sawai Ingh Mali ◽  
Manish Sharma
Keyword(s):  
Functional Result ◽  
Trochanteric Fracture ◽  
Good Alternative ◽  
Locking Compression Plate ◽  
Dynamic Hip Screw ◽  
Pertrochanteric Fracture ◽  
Harris Hip Score ◽  
Bony Union ◽  
Compression Plate ◽  
Hip Screw

<p class="abstract"><strong>Background:</strong> Pertrochanteric fracture is common in elderly people. Dynamic hip screw is still considered the gold standard for treating intertrochantric fracture. Proximal femoral locking compression plate is newer device. The purpose of the study was to compare the outcome of surgical treatment of trochanteric fracture by dynamic hip screw and proximal femoral locking compression plate.</p><p class="abstract"><strong>Methods:</strong> We study 60 patient admitted and followed up at J.L.N. Medical College Ajmer from June 2016 to April 2018 for minimum 6 month or till the bony union. Every fracture classified according to AO classification and functional result will be assessed according to Harris hip score using unpaired t test.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean operative time and average intraoperative blood loss was more in PFLCP group when compared with DHS group it was statically significant. DHS group has marginally better functional result then PFLCP group. There was no difference in the radiological outcome between two group.</p><p><strong>Conclusions:</strong> DHS is best implant for stable intertrochantric fracture but PFLCP can also be good alternative for unstable IT femur fracture.</p>

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