Guidelines for the clinical application of the LCP

Gautier, Emanuel; Sommer, Christoph

doi:10.1016/j.injury.2003.09.026

Cited by 479 publications

(474 citation statements)

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“…Longer plates provide more stability because less pullout force is acting on the screws (14). Although plate length was not correlated with fixation failure in the present study, we consider it advisable to apply relatively long plates.…”

Section: K Voss Et Al: Repair Of Long-bone Fractures Using the Unilcontrasting

confidence: 57%

“…Recommendations for the clinical use of the LCP are to insert at least two screws per fragment that engage at least four cortices (11,14). It seems from this study that the Unilock system may also be used with fewer screws than conventional plates.…”

Section: K Voss Et Al: Repair Of Long-bone Fractures Using the Unilmentioning

confidence: 83%

“…With an internal fixator that is purely applied as a splint and therefore does not provide interfragmentary compression, some screw holes should be omitted across the fracture area, even in simple fractures, to allow distribution of bending forces over a larger area of the plate to reduce implant strain (11,14). The number of empty screw holes did not influence occurrence of complications in the present study, but in both cases where plate failure occurred all plate holes had been filled with screws, which could also have contributed to high implant strain and plate failure.…”

Section: K Voss Et Al: Repair Of Long-bone Fractures Using the Unilmentioning

confidence: 99%

“…Holding power of monocortical screws depends on the presence of healthy cortical bone and is therefore mainly indicated in the diaphysis of long bones (4,5,14). In small bones, care must be taken that the screw tips do not touch the transcortex during insertion; this has been reported to cause stripping of the thread and screw loosening in the near cortex in human patients (14). The shortest screws of the Unilock system measure 6 mm in length, which can exceed bone diameter in small patients.…”

Section: K Voss Et Al: Repair Of Long-bone Fractures Using the Unilmentioning

confidence: 99%

See 3 more Smart Citations

Repair of long-bone fractures in cats and small dogs with the Unilock mandible locking plate system

Voss¹,

Kull²,

Hässig³

et al. 2009

Vet Comp Orthop Traumatol

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Section: K Voss Et Al: Repair Of Long-bone Fractures Using the Unilcontrasting

confidence: 57%

Section: K Voss Et Al: Repair Of Long-bone Fractures Using the Unilmentioning

confidence: 83%

Section: K Voss Et Al: Repair Of Long-bone Fractures Using the Unilmentioning

confidence: 99%

Section: K Voss Et Al: Repair Of Long-bone Fractures Using the Unilmentioning

confidence: 99%

See 2 more Smart Citations

Repair of long-bone fractures in cats and small dogs with the Unilock mandible locking plate system

Voss¹,

Kull²,

Hässig³

et al. 2009

Vet Comp Orthop Traumatol

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“…The application of locking compression plates (LCP) in the treatment of PFFs is a relatively new concept, having been introduced in 2000, with the first results reported in 2003 [7]. LCPs have an advantage over conventional plates that can be applied at a distance over the periosteum, because the screws lock onto the plate, preserving the periosteal blood supply and thus enhancing fracture healing.…”

Section: Introductionmentioning

confidence: 99%

Periprosthetic femoral fracture fixation: A biomechanical comparison between proximal locking screws and cables

Graham

Mak

Moazen

et al. 2015

Journal of Orthopaedic Science

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Background: The incidence of periprosthetic femoral fractures (PFF) around a stable stem is increasing. The aim of this biomechanical study is to examine how three different methods of fixation, for Vancouver type B1 PFF, alter the stiffness and strain of a construct under various configurations in order to gain a better insight into the optimal fixation method. Methods:Three different combinations of proximal screws and Dall-Miles cables were used: (A) proximal unicortical locking screws alone; (B) proximal cables and unicortical locking screws; (C) proximal cable alone, each in combination with distal bicortical locking screws, to fix a stainless steel locking compression plate to five synthetic femora with simulated Vancouver type B1 PFFs. In one synthetic femora there was a 10mm fracture gap, in order to simulate a comminuted injury. The other four femora had no fracture gap, to simulate a stable injury. An axial load was applied to the constructs, at varying degrees of adduction and the overall construct stiffness and surface strain were measured.Results: With regards to the stiffness, in both the gap and no gap models, method of fixation A was the stiffest form of fixation. The inclusion of the fracture gap reduced the stiffness of the construct quite considerably for all methods of fixation. The strain, across both the femur and the plate, was considerably less for method of fixation C, compared to A and B at the locations considered in this study. Conclusion:This study highlights that the inclusion of cables appears to damage the screw fixations and does not aid in the construct stability. Furthermore, the degree of fracture reduction affects the whole construct stability and the bending behaviour of the fixation.

show abstract

Radius/Ulna Fractures

Guiot¹,

Guillou²

2018

Locking Plates in Veterinary Orthopedics

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Guidelines for the clinical application of the LCP

Cited by 479 publications

References 0 publications

Repair of long-bone fractures in cats and small dogs with the Unilock mandible locking plate system

Repair of long-bone fractures in cats and small dogs with the Unilock mandible locking plate system

Periprosthetic femoral fracture fixation: A biomechanical comparison between proximal locking screws and cables

Radius/Ulna Fractures

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