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2013, Number 2

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Acta Med 2013; 11 (2)

Femur subtrochanteric fractures treated with plate for femur LCP 4.5

Ochoa CR, Mancilla JA
Full text How to cite this article

Language: Spanish
References: 12
Page: 83-88
PDF size: 412.74 Kb.


Key words:

Subtrochanteric fracture, pathologic fracture, locking compression plate.

ABSTRACT

The system locking compression plate is a new form of extra medullary fixation for fracture management. A special design allows the surgeon to use it as a conventional plate or as an internal fixation device. The combined screw hole enables the use of conventional and locking screws for angular stability. We present our experience with this implant with two cases performed at Hospital Ángeles Pedregal, México DF, on April 2011. The locking compression plate was used in two subtrochanteric fractures. The first case was in an osteopenic patient and the second was a fracture in pathologic area. The data analysis was done by assessment of the clinical evaluation and patient evolution. The results show clinical improvement posterior to fixation, with better range of motion and decrease in symptoms. No complications, technical problems or omission of internal fixation principles was registered. In conclusion, the locking compression plate is an excellent alternative in osteosynthesis that delivers new tools for stabilization of simples and complex injuries but also susceptible to complications if not used adequately.


REFERENCES

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  2. Perren SM. Evolution of the internal fixation of long bone fractures: The scientific basis of biological internal fixation. Choosing a new balance between stability and biology. J Bone Joint Surg Br. 2002; 84: 1093-1110.

  3. Gardner MJ, Brophy RH, Campbell D et al. The mechanical behavior of locking compression plates compared with dynamic compression plates in a cadaver radius model. J Orthop Trauma. 2005; 19(9): 597-603.

  4. Rozbruch SR, Müller U, Gautier E, Ganz R. The evolution of femoral shaft plating technique. Clin Orthop Relat Res. 1998; 354: 195-208.

  5. Epari DR, Kassi JP, Schell H, Duda GN. Timely fracture-healing requires optimization of axial fixation stability. J Bone Joint Surg Am. 2007; 89: 1575-1585.

  6. S toffel K, Dieter U, Stachowiak G, Gächter A, Kuster MS. Biomechanical testing of the LCP: How can stability in locked internal fixators be controlled? Injury. 2003; 34(Suppl 2): B11-B19.

  7. S ommer C, Babst R, Müller M, Hanson B. Locking compression plate loosening and plate breakage: a report of four cases. J Orthop Trauma. 2004; 18: 571-577.

  8. Wagner M. General principles for the clinical use of the LCP. Injury. 2003; 34(Suppl 2): B31-B42.

  9. C hao EY, Inoue N, Koo TK, Kim YH. Biomechanical considerations of fracture treatment and bone quality maintenance in elderly patients and patients with osteoporosis. Clin Orthop Relat Res. 2004; 425: 12-25.

  10. Johansson H, Clark P, Carlos F, Oden A, McCloskey EV. Kanis: increasing age-and sex-specific rates of hip fracture in Mexico: a survey of the Mexican Institute of Social Security. Osteoporos Int. 2011; 22(8): 2359-2364.

  11. C lark P, Carlos F, Martínez JL. Epidemiología, costos y carga de la osteoporosis en México. Rev Metab Óseo y Min. 2010; 8(5): 152-161.

  12. Greiwe RM, Archdeacon MT. Locking plate technology: current concepts. J Knee Surg. 2007; 20(1): 50-55.




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Acta Med. 2013;11