medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2007, Number 1

<< Back Next >>

Acta Ortop Mex 2007; 21 (1)

Experience with the locking compression plates (LCP) in the Hospital Susana López de Valencia – Popayán, Colombia

Concha SJM

Language: Spanish
References: 12
Page: 8-13
PDF size: 557.79 Kb.


ABSTRACT

The LCP (locking compression plate) system is a new type of extramedullary fixation for the management of fractures. A special design allows the surgeon to use it as a standard plate or as an internal fixator. The combined hole permits the use of standard screws, such as «locking» screws, that produce angular stability. We present the experience with this implant at Hospital Susana López de Valencia in Popayán, Colombia, from November 2003 to August 2005. The LCP system was used to treat different types of fractures, according to the Orthopedic Trauma Association (OTA) classification. A total of 68 patients (54 males and 14 females) were enrolled in the study. Descriptive statistics was used for data analysis. The results show that 63 fractures (93%) healed within the expected time frame. Complications occurred in 11 patients (16%), with the major ones being infection, loosening, implant rupture, and non-union. Some of them were associated with technical problems and non-observance of the internal fixation principles. In conclusion, the LCP system is an excellent alternative for osteosynthesis which provides new possibilities for the stabilization of simple and complex lesions. However, same as standard osteosynthesis, it is not free of complications.


REFERENCES

  1. Perren S: Biology and biomechanics in fracture management. AO Principles of the Fracture Management, 2000; 1-4.

  2. Perren S: Some clinically relevant properties of the intramedullary nail. Injury 1999; 30(3): 3-4.

  3. Kempf L, Grosse A: Closed locked intramedullary nailing. Its application to comminuted fractures of the femur. J Bone Joint Surg 1985; (67A): 709-20.

  4. Freedman E, Johnson E: Radiographic analysis of tibial fracture malalignment following intramedullary nailing. Clin Orthop 1995; (315): 25-33.

  5. Lang G, Cohen B, Bosse M, Kellam J: Proximal third tibial shaft fractures. Should they be nailed? Clin Orthop 1995; (315): 25-33.

  6. Hertel R, Eijer H, Perren S: Biomechanical and biological considerations relating to the clinical use of the Point Contact Fixator – Evaluation of the device handling test in the treatment of diaphyseal fractures of the radius and/or ulna. Injury 2001; 32 (2): 10-4.

  7. Goesling T, Frenk A, Appenzeller A, Liss P: Design, mechanical and biomechanical characteristics. Injury 2003; 34(1): 11-5.

  8. Watson J, Wiss D: Fracturas de la meseta tibial: Reducción abierta y fijación interna. Fracturas 1999: 363-80.

  9. Ruedi T, Murphy W: The AO Fractures classification, in AO principles of Fractures Management Thieme, 2000.

  10. Gautier E: Guidelines for the clinical application of the LCP. Injury 2003; Vol. 34, Suppl. 2.

  11. Haidukewych G: Novedades tecnológicas de las placas bloqueadas. Journal of the American Academy of Orthopaedic Surgeons Edición en español Volumen 3, Nº 5 Septiembre /Octubre, 2004: 277-83.

  12. Schutz M, et al: Fijación interna de fracturas diafisarias de antebrazo con un sistema placa-tornillo de ángulo fijo. Técnicas Quirúrgicas en Ortopedia y Traumatología. Edición española. Vol 14, Número 1, Enero-Febrero-Marzo, 2005: 24-33.




2020     |     www.medigraphic.com