Locking Compression Plate Internal Fixation Research Articles

Analysis of the effect of locking compression plate internal fixation in the treatment of proximal humeral fractures and the improvement of patients' quality of life.

article: Analysis of the effect of locking compression plate internal fixation in the treatment of proximal humeral fractures and the improvement of patients' quality of life - Panminerva Medica 2021 Oct 25 - Minerva Medica - Journals

Comparison of the effect of interlocking intramedullary nail and internal fixation with locking compression plate in the treatment of tibial fracture

Objective To analyze and compare the effect of interlocking intramedullary nail and locking compression plate in the treatment of tibial fracture. Methods 56 patients with tibial fracture nonunion admitted to the Department of Orthopedics of our hospital from January 2019 to December 2020 were retrospectively analyzed, including 34 males and 22 females, aged from 15 to 65 years old, with an average age of 36 years old. According to different surgical methods, they were divided into interlocking intramedullary nail group (30 cases) and locking compression plate internal fixation group (26 cases). The therapeutic effect, surgical indexes and fracture healing time were compared between the two groups. Results The mean operation time of the interlocking intramedullary nail group was shorter than that of the locking compression plate group, and the amount of bleeding in interlocking intramedullary nail group was less than that of the locking compression plate group (P < 0.05). However, there was no significant difference in the mean healing time and curative effect between the two groups (P >0.05). Conclusion Both interlocking intramedullary nail and locking compression plate internal fixation are effective methods for the treatment of nonunion of tibial fractures, but the former can reduce the amount of bleeding and shorten the operation time.

Effect of locking compression plate on the treatment of limb fracture and the effect of operative success rate and postoperative recovery time

To analyze the effect of locking compression plate on the success rate of operation and the time of postoperative recovery.Methods :120 patients with limb fractures from March 2018 to March 2020 were randomly divided into control group (60 cases) and observation group (60 cases). The control group was treated with plate screw internal fixation, The observation group used locking compression plate internal fixation, Compare the effect of treatment, the success rate of operation and the time of postoperative recovery.results: compared the effective rate of the two groups, the observation group (93.33%) was significantly higher than the control group (75.00%). compared with the two groups, the success rate of operation and the time of postoperative recovery, the observed composition power was higher than that of the control group, and the postoperative recovery time was lower than that of the control group, P &lt;0.05.Conclusion: The use of locking compression plate for the treatment of limb fracture can significantly increase the probability of successful operation, shorten the recovery time after operation, the overall curative effect is ideal, and the clinical popularization value is high.

Analysis of the Effect of Locking Compression Plate Internal Fixation for the Treatment of Limb Fractures.

Analysis of the Effect of Locking Compression Plate Internal Fixation for the Treatment of Limb Fractures.

Treatment of distal humerus fracture with unexposed ulnar nerve medial elbow incision and anatomical locking compression plate

To investigate the feasibility and effectiveness of unexposed ulnar nerve medial elbow incision, open reduction and internal fixation of anatomical locking compression plate (LCP) for distal humerus fractures. Fourteen patients with distal humerus fracture were treated between January 2014 and June 2017. There were 5 males and 9 females, aged 18-85 years (mean, 65.5 years). The causes of injury included falling from height in 12 cases and traffic accident in 2 cases, all were closed fractures. Fractures were classified according to the AO/Association for the Study of Internal Fixation (AO/ASIF): 3 cases of type A2, 2 cases of type A3, 4 cases of type B2, 2 cases of type C1, 2 cases of type C2, and 1 case of type C3; without ulnar nerve damage. The time from injury to operation was 4-15 days, with an average of 7 days. The type B2 fractures were treated with unexposed ulnar nerve elbow medial incision and anatomic LCP internal fixation, the rest patients were all treated with unexposed ulnar nerve medial plus conventional lateral approach and bilateral LCP internal fixation. The operation time was 50-140 minutes (mean, 80 minutes), and the intraoperative blood loss was 20-200 mL (mean, 70 mL). There was no blood vessels or nerve damage during operation. All incisions healed by first intension, and no incision infection occurred. All the 14 cases were followed up 9-24 months (mean, 13 months). X-ray films showed that all fractures healed within 4 months without complications such as nonunion and osteomyelitis. No ulnar nerve injury, cubitus varus deformity, and ossifying myositis occurred during follow-up. At last follow-up, the elbow function was assessed by Mayo Elbow Performance score (MEPS), the results were excellent in 8 cases, good in 4 cases, fair in 1 case, and poor in 1 case (type C3 fracture), with the excellent and good rate of 85.7%. The unexposed ulnar nerve medial elbow incision can be used effectively to reduct the fracture, and it is not prone to ulnar nerve injury. Combined with the lateral approach to treat the distal humerus fracture, which has the advantages of short operation time, few trauma, little bleeding, and reliable effectiveness.

Comparison of the use of anatomical compression plate and locking compression plate for the management of old patients with intertrochanteric fractures

Objective To compare the therapeutic effect between anatomical compression plate (ACP) and locking compression plate (LCP) in treatment of old patients with intertrochanteric fractures.Methods Selected 90 cases of intertrochanteric fractures experienced ACP internal fixation (47 cases) or LCP internal fixation (43 cases) from August 2006 to March 2011,and compare operation time,blood loss,fracture healing time,complications of the two groups.Results ACP group:operation time (98.8 ±31.2) min,blood loss (350.7 ± 123.9) ml,fracture healing time (95 ± 15) day,neck shaft angle (132.0 ± 4.9) °,cut-out (4 cases).LCP group:operation time (105.6 ± 36.3) min,blood loss (364.8 ± 119.5) ml,fracture healing time (93 ± 14) day,neck shaft angle (135.0 ± 1.5) °,cut-out (none).There was no statistical difference on operation time,blood loss,fracture healing time between the two groups (P ＞ 0.05).The difference was significant on neck shaft angle and cut-out between the two groups (P ＜ 0.01).Conclusion Compared with ACP internal fixation,LCP intemal fixation is good method for the treatment of old patients with intertrochanteric fractures. Key words: Intertrochanteric fractures ; Old patients; Anatomical compression plate ; Locking compression plate

Limited open reduction and internal fixation with anatomical locking compression plate for treatment of tibial Pilon fractures

Objective To investigate methods and clinical effects of limited open reduction of ankle articular surface and locking compression plate (LCP) placement using minimally invasive plate osteosynthesis (MIPO) in managing tibial Pilon fractures.Methods Twenty-one patients with tibial Pilon fractures treated between August 2009 and August 2011 were involved in the study,including 16 males and 5 females,at age of 21-68 years (average 42.3 years).According to AO/OTA classification,12 patients were with type 43B fractures and nine with type 43C fractures.There were two patients with open fractures (both Gustilo-Anderson type Ⅰ fractures).Limited open reduction of ankle articular surface plus LCP placement using MIPO were performed.Early functional training without weight-bearing was carried out postoperatively.Results Nineteen patients were followed up for 12-24 months (average 14 months).According to Burwell-Chamley' s radiological evaluation system,17 patients obtained anatomical reduction of articular surface and two patients obtained moderate reduction,but they all had bony healing.Ankle function evaluated by Mazur' s criterion were excellent in seven patients,good in 10 and fair in two,with excellence rate of 89％.Conclusion Limited open reduction combined with LCP internal fixation can successfully construct articular anatomic relationship,decrease soft tissue dissection and attain solid fixation in treatment of Pilon fractures and further facilitate functional recovery of the affected extremity in coordination with early functional exercise. Key words: Tibial fractures ; Skeletal tracting reposition; Fracture fixation, internal; Locking compression plate; Pilon fracture

Percutaneous Locking Compression Plate(LCP) Internal Fixation for Distal Tibial Comminuted Fracture

Objective To explore the effect of percutaneous locking compression plate(LCP) internal fixation for distal tibial comminuted fracture.Methods 35 patients of distal tibial Comminuted fracture were treated with percutaneous locking compression plate(LCP) internal fixation.Results All patients were followed up for average 1.8 years(ranging from 1 to 2.5 years).All of cases have healed well,and the average bone healing was 14.6 weeks (ranging from 8 to 28 weeks ).All of them have no infection and no loosening or breakage of internal fixation.According to Mazur criterion,excellent effect 17 cases,good effect 16 cases,fair effect 1 case poor effect 1 case,94.3％ was excellent or good.Conclusion The LCP internal fixation for distal tibial comminuted fracture have the advantage of less invasive,good internal fixation and bone union fastly and little complications. Key words: Tibial and fibula fracture; Locking compression plate; Fracture Fixation, Internal

Treatment of intertrochanteric femoral fracture with locking compression plate

Objective To investigate the clinical efficacy of locking compression plate for the treatment of intertrochanteric femoral fracture.Methods 39 patients with intertrochanteric femoral fracture were treated with locking compression plate internal fixation.Clinical healing of fracture,post-operative restored function and complications were observed.Results 36 patients were followed up.The follow-up period ranged from 8 to 20 months with an gverage of 13.3 months.All the fractures were healed up,no coxa vara and other complications were found.Conclusion Locking compression plate internal fixation is an effective method for treating intertrochanteric femoral fracture.It can reduce complications effectively and has a satisfactory clinical efficacy. Key words: Locking compression plate; Intertrochanteric; Fracture

Treatment of Barton's fracture with LCP internal fixation combined with bone graft

Objective To evaluate the clinical outcome of treating Barton' s fractures using locking compression plate (LCP) combined with bone graft. Methods Thirty cases of Barton's fracture treated from June 2002 to January 2008 were involved in the study. They were treated with open reduction and internal fixation with LCP combined with bone graft. Early rehabilitation was carried out postoperatively. There were 18 males and 12 females. The mean age of them was 39 years. Results All of the 30 patients were followed up for 3 to 24 months and the average time was 12 months. Bone union was seen in all cases and the average clinical healing time was 8 weeks. The volar tilting angle was 6° to 16°(average 10.4°), and the ulnar inclining angle was 17° to 25°( average 20.1°). There was no shortening of the radius. Clinical outcome was evaluated by X-rays and wrist function assessment. The result of 20 cases was graded as excellent, 8 cases as good, and 2 cases as poor. The overall satisfaction rate was 93.3%. Conclusion Surgical treatment using LCP internal fixation combined with bone graft for Barton's fractures can maintain the length of the radius and ulna, restore volar tilting angle and ulnar inclining angle, and achieve good reduction of the articular surface. Early rehabilitation is equally important for the best recovery of wrist function. Key words: Radius fractures; Fracture fixation, internal; LCP; Bone graft