scholarly journals Variable Angle Locking Compression Plate as Alternative Fixation for Jones Fractures:

2019 ◽  
Vol 12 (2) ◽  
pp. 28-32
Author(s):  
Kaylee A. Miller ◽  
Alexander C.M. Chong ◽  
Timothy P. Uglem
Keyword(s):  
Retrospective Chart Review ◽  
Locking Compression Plate ◽  
Fixation Method ◽  
Bony Union ◽  
Variable Angle ◽  
Anatomic Reduction ◽  
Compression Plate ◽  
Rapid Healing ◽  
Significant Disability ◽  
Alternative Fixation

Introduction. Jones fractures pose many challenges for the treatingsurgeon and can cause significant disability for some patients. Theaim of this study was to review the results of using a variable anglelocking compression plate as an alternative fixation method in thetreatment of Jones fractures.Methods.xA retrospective chart review was conducted of patientswho had undergone fixation of Jones fracture with a variable anglelocking compression plate from September 2012 through February2016. Radiographs of the preoperative and six-week postoperativeand postoperative follow-up outcomes, including complication andhardware removal, were collected.Results. Twenty-three cases met the inclusion/exclusion criteria.The overall bony union rate was 96% at six-week postoperative and100% at 20-week postoperative. Mean age was 30 ± 16 years, andmean BMI was 30.7 ± 5.2 kg/m2. Three patients (13%) had plateremoval: two (9%) were due to irritation caused by shoe wearing andone patient (4%) had a skin infection (cellulitis) which was treatedwith intravenous antibiotics. One patient (4%) had developed deepvein thrombosis (DVT) that was resolved with anticoagulant withoutimplant removal. No fixation loss and no associated complicationsdeveloped from implant removal.Conclusions. Based on our limited experience, this study providedevidence that the variable angle locking compression plate may be analternative form of fixation for Jones fractures with a low complicationrate. This procedure seemed to provide a safe, reliable methodthat can achieve an anatomic reduction, stable fixation, rapid healing,and good results in the treatment of Jones fractures.Kans J Med 2019;12(2):28-32.

scholarly journals Refracture after locking compression plate removal in displaced midshaft clavicle fractures after bony union: a retrospective study

2021 ◽  
Author(s):  
Ho-Youn Park ◽  
Seok-Jung Kim ◽  
Yoo-Joon Sur ◽  
Jae-Woong Jung ◽  
Chae-Gwan Kong
Keyword(s):  
Clavicle Fracture ◽  
Locking Compression Plate ◽  
Bony Union ◽  
Related Factors ◽  
Patient Demographics ◽  
Radiographic Measurements ◽  
Significant Difference ◽  
Compression Plate ◽  
Segmental Fractures ◽  
Clavicle Fractures

Background: A midshaft clavicle fracture is a common fracture that typically responds well to open reduction and internal fixation (ORIF). However, refracture can occur after implant removal (IR). This study aimed to analyze the rate of refracture and related factors after removal of the locking compression plate (LCP) for displaced midshaft clavicle fractures. Methods: We retrospectively reviewed the medical records of 201 patients who had undergone ORIF with LCP for midshaft clavicle fractures after IR after bony union from January 2011 to May 2018 at our institute. We evaluated basic demographic characteristics and radiographic parameters. All patients were treated with an LCP for primary fracture. The patients were divided into two groups: a refracture group that experienced a second fracture within 1 year after IR and a no-fracture group.Results: There were four cases (1.99%) of refracture; three were treated conservatively, while one was treated surgically. All patients achieved bony union. The average interval between refracture and IR was 64 days (range, 6–210 days). There was a significant difference in classification of fractures (AO Foundation/Orthopaedic Trauma Association [AO/OTA] classification) between the two groups. However, other patient demographics and radiographic measurements between refracture and IR, such as bone diameter, showed no significant difference between the two groups. Conclusions: This study showed that one in 50 patients suffered from refracture after removal of the LCP. Thus, if patients desire IR, the surgeon should explain that there is a relatively higher possibility of refracture for cases with simple or segmental fractures than for other types of fracture.

Treatment of Distal Femur Fractures With the DePuy-Synthes Variable Angle Locking Compression Plate

2019 ◽  
Vol 33 (9) ◽  
pp. 432-437 ◽  
Author(s):  
Tyler C. McDonald ◽  
Joella J. Lambert ◽  
R. Miles Hulick ◽  
Matthew L. Graves ◽  
George V. Russell ◽  
...  
Keyword(s):  
Distal Femur ◽  
Locking Compression Plate ◽  
Femur Fractures ◽  
Variable Angle ◽  
Compression Plate

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>

scholarly journals Outcomes of Surgical Management of Distal Femur Fracture with Distal Femoral Locking Compression Plate at Koshi Zonal Hospital

2018 ◽  
Vol 2 (3) ◽  
pp. 260-265
Author(s):  
Shambhu Sah ◽  
Navin Kumar Karn ◽  
Bikash KC ◽  
Roshan Yadav ◽  
Sailj Jung Dangi ◽  
...  
Keyword(s):  
Distal Femur ◽  
Femoral Condyle ◽  
Weight Bearing ◽  
Surgical Techniques ◽  
Locking Compression Plate ◽  
Fixation Method ◽  
Full Weight Bearing ◽  
Femur Fractures ◽  
Duration Of Surgery ◽  
Compression Plate

Introduction: Distal femoral fractures comprise 4-6% of all femur fractures. The management of distal femur fractures are challenging because of significant morbidity and complication rate even with advanced surgical techniques and implants. Open reduction and internal fixation (ORIF) with pre-contoured distal femoral locking compression plate (DF-LCP) is one of the most acceptable surgical procedures these days.Objectiv: Evaluation of functional outcomes of distal femur fractures managed surgically using DF-LCP at Koshi Zonal Hospital.Methodology: In this cross sectional study 21 patients having closed distal femur fractures with or without intra-articular extension to femoral condyle fixed with DF-LCP at Koshi Zonal Hospital, Nepal from March 2016 to March 2017 were included. Patients with open fracture, severe comminuted fracture, and neurovascular impairment were excluded. These patients were followed-up for up to one year and we recorded the knee range of motion, full weight bearing time fracture union time, and complications. We used Neers' functional scoring system to evaluate the final outcomes and data was analysed using Microsoft Excel Programe.Results: Out of the 21 patients of distal femur fractures, 16 were diametaphyseal distal femur fractures and five were supracondylar fractures with intra-articular extension. Mean age recorded was 45 (range 19-75) years, hospital stay mean duration 12 (range 10-19) days and duration of surgery 85 (range 60-150) minutes, full weight bearing walking time mean 16 (range 12-22) weeks, radiological union time mean 20 (range 17-29) weeks and Neers' score was excellent in 66.66%, satisfactory in 23.80%, unsatisfactory in 4.76%, and poor in 4.76%.None of our patients had complications like; loss of fixation, implant failure or post-operative neurovascular injury.Conclusion: Distal Femoral Locking Plate is one of the best implant to be used as fixation method for both extra-articular and intraarticular distal femur fracture.Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 260-265  

The implanted tracheal tissue connector: an alternative fixation method for laryngeal prostheses

2000 ◽  
Vol 25 (4) ◽  
pp. 323-323
Author(s):  
A.A. Geertsema ◽  
H.K. Schutte ◽  
H.F. Mahieu ◽  
M.B.M. Van Leeuwen ◽  
M.J.A. Van Luyn ◽  
...  
Keyword(s):  
Fixation Method ◽  
Alternative Fixation ◽  
Tracheal Tissue
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