scholarly journals Close Comminuted Fracture in the Shaft of Femur: Managed by Open Reduction and Internal Fixation with Broad Dynamic Compression Plate (DCP) Without Stripping of Periosteum

1970 ◽  
Vol 15 (2) ◽  
pp. 96-97
Author(s):  
Md Nazrul Islam ◽  
Suzon Al Hasan
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Dynamic Compression ◽  
Dynamic Compression Plate ◽  
Comminuted Fracture ◽  
Compression Plate

Management of close comminuted fracture in the shaft of femur in adult is a difficult task. Herewe report a case who was managed by open reduction and internal fixation with broad dynamiccompression plate without stripping of Periosteum.doi: 10.3329/taj.v15i2.3919TAJ December 2002; Vol.15(2): 96-97

scholarly journals Diaphyseal fractures of the forearm in adults, comparative study of dynamic compression plate versus intramedullary nail

2019 ◽  
Vol 5 (5) ◽  
pp. 916
Author(s):  
Sagar Venkataraman ◽  
Prabhu Ethiraj ◽  
Arun Heddur Shanthappa Naik ◽  
Sachin Prakash Angadi
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Road Traffic ◽  
Dynamic Compression ◽  
Fracture Pattern ◽  
Plate Versus ◽  
Forearm Fractures ◽  
Dynamic Compression Plate ◽  
Non Union ◽  
Compression Plate

<p class="abstract"><strong>Background:</strong> Forearm fractures are common nowadays because of road traffic accident. It is important to achieve anatomical reduction of both bone forearm fractures to regain function of upper limb. This study is undertaken to observe functional and radiological outcome using two different surgical modalities like dynamic compression plating (DCP), and intramedullary nailing in both bone forearm fractures and also to indivualize the optimal treatment method for different fracture pattern.</p><p class="abstract"><strong>Methods:</strong> Our study included 60 patients with diaphyseal forearm fractures in adults presenting to orthopaedic outpatient department. Among 60 patients, 30 patients underwent open reduction and internal fixation by dynamic compression plate and other 30 patients underwent closed reduction/open reduction by square nail after detailed pre-operative evaluation.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study average union time in DCP group is 23.39 weeks and square nail group is 28.89 weeks. Union in DCP group was 27 (90%) and square nail group 22 (73.33%). Delayed union in DCP group was 03 (10%) and in Square nail group was 6 (20%), non-union in DCP group was 0 (nil) and in square nail group was 2 (06%).</p><p class="abstract"><strong>Conclusions:</strong> Open reduction and internal fixation with DCP plates for both bone diaphyseal forearm fractures gives good results with early union rates. We also found that in open fractures and complex fracture like segmental fractures square nailing was better option compared to dynamic compression plate to reduce infection rates, retain periosteal blood supply from soft tissue. Thus we conclude that both implants are equally important and we should prioritize based on preoperative planning.</p>

scholarly journals Functional Outcome of Galezzi Fracture Dislocation in Adults Treated With Dynamic Compression Plate and Kirschner Wire

2020 ◽  
Vol 18 (1) ◽  
pp. 56-59
Author(s):  
Dipendra KC ◽  
Dinesh Kumar Shrestha ◽  
Prateek Karki ◽  
Sabin Shrestha ◽  
Sushil Yogi ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Dynamic Compression ◽  
Kirschner Wire ◽  
Distal Radioulnar Joint ◽  
Fracture Dislocation ◽  
Dynamic Compression Plate ◽  
Radioulnar Joint ◽  
Compression Plate

Introduction: Galeazzi fracture-dislocation is a complex traumatic disruption of the distal radioulnar joint (DRUJ) that is associated with lower shaft radius fracture. Galeazzi fractures are extremely unstable, and the results of nonsurgical treatment are uniformly unsatisfactory. Galeazzi fractures managed with closed modalities have unsatisfactory clinical results in most of the patients in published literature so open reduction and internal fixation with plating is the standard treatment for this fracture. Aims: The aim of this study was to evaluate the functional outcome of Galeazzi fracture dislocation. Methods: This prospective study was conducted in the Department of Orthopedics at Nepalgunj Medical College Teaching Hospital Kohalpur, from April 2016 to March 2019.  It included 35 patients of age group 19 to 49. All of the fractures in this study were treated by open reduction and internal fixation (ORIF) with 3.5 mm narrow dynamic compression plate (DCP) and cortical screws via Henrys anterior approach and distal radioulnar joint (DRUJ) stabilization was done with 1 Kirschner wire (K-wire) inserted parallel to the wrist joint. Patients were observed at 6, 10, 16 and 24 weeks and 52 weeks both radiographically and clinically. Results: In this study of 35 patients, 24 (68.57%) were males and 11 (31.43%) were females with the age range of 19 to 49 years and mean age of 35 and standard deviation (SD) of ±1.5 years. Majority of fractures were observed between 31 to 40 years of age. Most of the injuries were due to fall injury 51.42%. The average duration from time of injury to surgery was 5 days and bone grafting was not needed in any cases. The average time period for union was about 16 weeks. The most common complication seen in this study was stiffness of wrist (11.42%). Twenty four patients (68.57%) had good result, 10 patients (28.57%) had fair result and one patient (2.86%) had poor result in DASH score at final follow-up. Conclusion: Open reduction and internal fixation with plating and stabilization of distal radioulnar joint with K wire yields good to fair outcome on Disabilities of Arm, Shoulder and Hand Score.

scholarly journals Successful utilization of triphasic silica containing ceramic coated hydroxyapatite (HASi) for the treatment of comminuted tibial fracture in a goat: a case report

2021 ◽  
Vol 52 (2) ◽  
Author(s):  
Rahul Rao ◽  
P. T. Dinesh ◽  
S. Sooryadas ◽  
George Chandy ◽  
Manju Mathew
Keyword(s):  
Hind Limb ◽  
Tibial Fracture ◽  
Dynamic Compression ◽  
Weight Bearing ◽  
Segmental Defect ◽  
Dynamic Compression Plate ◽  
Comminuted Fracture ◽  
Compression Plate ◽  
History Of ◽  
One Year

A one year old female Sirohi crossbred goat was presented with a history of non weight bearing lameness on right hind limb. Radiography revealed comminuted fracture of tibial mid diaphysis. The comminuted fracture fragments and bone devoid of any soft tissue were surgically removed and the resultant segmental defect was reinstated with triphasic silica containing ceramic coated hydroxyapatite (HASi) after stabilising the fracture fragments with 2.7mm dynamic compression plate and screws. The animal recovered with normal limb ambulation after the eighth post-operative week.

Acute Failure Characteristics of Six Methods for Internal Fixation of Canine Femoral Oblique Fractures

1996 ◽  
Vol 09 (03) ◽  
pp. 106-10 ◽  
Author(s):  
E. Egger ◽  
J. Huhta ◽  
M. Histand ◽  
C. Mallinckrodt ◽  
R. Nye
Keyword(s):  
Internal Fixation ◽  
Dynamic Compression ◽  
Plate Fixation ◽  
Testing Machine ◽  
Maximum Load ◽  
Dynamic Compression Plate ◽  
Fixation Methods ◽  
Compression Plate

SummaryA long oblique osteotomy model of canine femoral fractures was created to compare six methods of internal fixation. The following methods were tested: three cerclage wires, three lag screws, eight-hole dynamic compression plate attached with six cerclage wires, eight-hole dynamic compression plate attached with six cortical screws, eight-hole dynamic compression plate attached with six cortical screws superimposed over three cerclage wires, and an eight-hole dynamic compression plate attached with six cortical screws superimposed over three lag screws. The repaired femurs were mounted in a mechanical testing machine in an orientation designed to mimic physiological loading. Axial compression was applied which resulted in the test specimens experiencing simultaneous compressive and bending forces. The effects of the method of osteotomy repair, bone temperature, and bone diameter were analyzed. The maximum load and the stiffness of the composite fixation and bones were determined. There were not any statistically significant differences in stiffness among the groups. All fixation methods, in which plates were attached with screws, resulted in significantly greater maximum load values than treatment techniques where plates were not used. None of the fixation methods attained a mean maximum load greater than 58% of the mean maximum load of the control femurs.Six methods of commonly used internal fixation methods are compared. A method of in vitro positioning of test femurs to mimic in vivo orientation is presented. Maximum load capabilities of fixation do not significantly increase with the addition of interfragmentary compression to plate fixation.

A new plate for internal fixation—the dynamic compression plate (DCP)

Injury ◽  
1970 ◽  
Vol 2 (1) ◽  
pp. 40-47 ◽  
Author(s):  
M. Allgöwer ◽  
S. Perren ◽  
P. Matter
Keyword(s):  
Internal Fixation ◽  
Dynamic Compression ◽  
Dynamic Compression Plate ◽  
Compression Plate
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