2006, Number 3
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Acta Ortop Mex 2006; 20 (3)
Treatment of radial and ulnar shaft fractures with LCP vs LC-DCP plates (comparative study)
Rojas de La RG, Bisono BAR, Bello GA, Garnica MM, Saavedra AL
Language: Spanish
References: 19
Page: 97-101
PDF size: 136.68 Kb.
ABSTRACT
Objective: To show the efficacy of LCP plates
versus LC-DCP plates in radial and ulnar shaft fractures.
Material and methods: 78 radial and/or ulnar fractures were reviewed prospectively in 54 patients; 42 were treated with LCP and 36 with LC-DCP in a 24-month period (from January 1
st to December 31
st, 2004). X-ray controls were obtained at 4, 8 and 12 weeks in all patients.
Results: 30.76% of the fractures were of the radius and ulna, and 69.23% (54 fractures) involved a single bone. Ulnar fractures accounted for 53.84% (42); 42.85% (18) were treated with LCP plates and 57.14% (24) with LC-DCP. Fracture healing occurred within 4-7 weeks in 38.46% (30) of the fractures; 70% (21) of them were treated with LCP and 30% (9) with LC-DCP. It was found that 2.77% (1) of those treated with LC-DCP had pseudoarthrosis, and none of the patients treated with LCP reported this complication.
Conclusions: Healing time is shorter with LCP
versus LC-DCP plates, including open fractures. Complications were considerably less frequent with LCP than for LC-DCP plates. The pseudoarthrosis rate tended to be lower with LCP plates.
REFERENCES
Campbell WC, Canale ST: Orthopedic Surgery 1998; 3: 2336.
De Cruess RL: Orthop Clin North Am. 1973; 4: 969.
Anderson LD, Bacastow DW: Treatment of forearm shaft fractures whit compression plates. Contem Orthop 1984; 8: 17.
Cole DJ: SST Small bone locking nail: surgical technique. Warsaw, Ind, Biomet. 1993; 3: 123-31.
Fernandez Dell´Oca: The principle of helical implants, Injury AO. 2002: 33(Suppl 1).
Baumgaertel F, Perren SM, Rahn B: Animal experiment studies of “biological” plate osteosynthesis of multifragment fractures of the femur. Unfallchirung. 1994; 97: 19-27.
Faruvk O, Krettek C, Miclau T, et al. Effects of percutaneous an conventional plating techniques on the blood supply to the femur. Arch Orthop Trauma Surg 1988; 117: 438-41.
Rhinelander FW, Wilson JW: Blood Supply in developing mature and healing bone In: Summer Smith G (ed). Bone in clinical orthopaedics. Saunders, Philadelphia. 1982.
Rhinelander FW: Physiology of bone from the vascular viewpoint. Society for biomaterials, San Antonio, Texas. 1978; 2: 24-6.
Gautier E, Cordey J, Mathys R, Rahn BA, Perren SM: Porosity and remodeling of plated bone after internal fixation: results of stress shielding or vascular damage? Elsever Science Amsterdam. 1984; 33: 345-52.
Lüthi UK, Rahn BA, Perren SM: Implants and intracortical vascular disturbances 28th Annual ORS Meeting. 1982: 337.
Danis R: The operative treatment of bone fractures. J Int Chir 1947; 7: 318-20.
Allgower M: The dynamic compression plate, Springer-Verlag Berlin Heidelberg, New York. 1973.
Perren SM, Klaue K, Frigg R, Predieri M, Tepic S: The concept of biological plating: The limited-contact dynamic compression plate LCDCP. Orthop Trauma. 1991.
Marti A, Fankhauser C, Frenk A: Biomechanical evaluation of the less invasive stabilization system for the internal fixation of distal femur fractures. J Orthop Trauma. 2001; (7): 482-7. 16. Perren SM. Evolution of the internal fixation of long bone fractures. JBJS 2002; 84 B: 1093-1100.
Klaue K: The dynamic compression unit for stable internal fixation of bone fractures. Med Diss Basel. 1982.
Baumgaertel F, Buhl M, Rahn BA: Fracture healing in biological plate osteosynthesis. Injury 1998; 29: 3-5.
Perren SM, Russenberger M, Steinemann S, Muller ME, Allgower M: A dynamic compression plate. Acta Orthop Scand Suppl 1969; 125: 31-41.
Cordero ML, Folgueira: The influence of the chemical composition and surface of the implant on infection. Injury AO 1996; 27(Suppl 3): 34-7.
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