Problems of bridging plate fixation for the treatment of forearm shaft fractures with the locking compression plate

Henle, Philipp; Ortlieb, Kevin; Kuminack, Kerstin; Mueller, Claas; Suedkamp, Norbert P.

doi:10.1007/s00402-010-1119-y

Cited by 28 publications

(39 citation statements)

References 12 publications

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“…Hand tightening of locking screws as advocated by Henle et al is recommended. 32 They also published one refracture during removal of ulnar locking plate. No complexities were confronted in LC-DCP group.…”

Section: Discussionmentioning

confidence: 99%

Stabilisation of diaphyseal fractures of both bones forearm with limited contact dynamic compression or locked compression plate: comparison of clinical outcomes

et al. 2017

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Background: The inception of Locking Compression Plate (LCP) has revolutionized fracture management. With their dramatic success for articular fractures, there is a speculation that they might be more appropriate for diaphyseal fractures as well.Methods: In this randomized prospective cohort study, 56 patients with diaphyseal fractures involving both bones of forearm were segregated into two groups based on internal fixation with Limited contact dynamic compression plate (LC-DCP)(n=28) or with Locking compression plate (LCP)(n=26). Clinical and radiological parameters were studied and functional evaluation was done with Disabilities of arm, shoulder, and hand (DASH) score.Results: Andersons’ criteria was employed to categorize the functional results. The mean duration of surgery and time to union were discovered to be less in favor of LCP group although statistically insignificant. No significant differences in two groups with respect to the functional evaluation (range of movement, Andersons’ criteria and DASH score) and complications could be discerned. No incidence of refracture or synostosis was encountered in any of the group. Conclusions: Although LCP is an effective treatment alternative and may have a subtle edge over LC-DCP in the management of these fractures, their supremacy could not be certified. We deduce that surgical planning and expertise rather than the choice of implant are more pivotal for outstanding results.

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Section: Discussionmentioning

confidence: 99%

Stabilisation of diaphyseal fractures of both bones forearm with limited contact dynamic compression or locked compression plate: comparison of clinical outcomes

et al. 2017

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“…[1][2][3][4] Displaced radius diaphyseal fracture usually requires surgical treatment. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Köse et al Intramedullary nailing of adult isolated diaphyseal radius fractures The most commonly used and accepted method is osteosynthesis with plate and screws. [1,2] The number of studies that have evaluated outcome of isolated radius or isolated ulna fractures is limited.…”

Section: Discussionmentioning

confidence: 99%

“…Most studies have been concerned with fractures of both bones of the forearm. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Therefore, as the present study focuses on outcome of treatment of isolated radius fractures, it can be considered a valuable contribution to the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the main aim in treatment of radius diaphyseal fractures is maintaining axial and rotational stability and preserving bone length. [3][4][5] Consensus exists regarding surgical treatment of displaced isolated radius diaphyseal fractures, [1][2][3][4][5] with open reduction, and plate and screw osteosynthesis accepted as the gold standard. However, there are disadvantages to plate and screw osteosynthesis, including cosmetic problems, soft tissue injury, neural injury, evacuation of fracture hematoma, and impairment of periosteal blood flow due to periosteal stripping.…”

mentioning

confidence: 99%

“…However, there are disadvantages to plate and screw osteosynthesis, including cosmetic problems, soft tissue injury, neural injury, evacuation of fracture hematoma, and impairment of periosteal blood flow due to periosteal stripping. [1][2][3] Early reports of intramedullary nailing treatment of forearm fractures described high non-union rates and unsatisfactory rotational stability, as a result of which, nailing was not a preferred method. However, the new design of intramedullary radius nails provides satisfactory functional and clinical outcomes, and the treatment method has come to be used more widely.…”

mentioning

confidence: 99%

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Intramedullary Nailing Of Adult Isolated Diaphyseal Radius Fractures

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Titanium Fiber Plates for Bone Tissue Repair

et al. 2017

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Titanium plates are widely used in clinical settings because of their high bone affinity. However, owing to their high elastic modulus, these plates are not suitable for bone repair since their proximity to the bone surface for prolonged periods can cause stress shielding, leading to bone embrittlement. In contrast, titanium fiber plates prepared by molding titanium fibers into plates by simultaneously applying compression and shear stress at normal room temperature can have an elastic modulus similar to that of bone cortex, and stress shielding will not occur even when the plate lies flush against the bone's surface. Titanium fibers can form a porous structure suitable for cell adhesion and as a bone repair scaffold. A titanium fiber plate is combined with osteoblasts and shown that the titanium fiber plate is better able to facilitate bone tissue repair than the conventional titanium plate when implanted in rat bone defects. Capable of being used in close contact with bone for a long time, and even capable of promoting bone repair, titanium fiber plates have a wide range of applications, and are expected to make great contributions to clinical management of increasing bone diseases, including bone fracture repair and bone regenerative medicine.

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Problems of bridging plate fixation for the treatment of forearm shaft fractures with the locking compression plate

Abstract: In conclusion, our data show that clinical and functional outcomes of LCP plating of diaphyseal forearm fractures are comparable to the use of conventional implants. However, implant-specific problems during hardware removal must be considered.

Cited by 28 publications

References 12 publications

Stabilisation of diaphyseal fractures of both bones forearm with limited contact dynamic compression or locked compression plate: comparison of clinical outcomes

Stabilisation of diaphyseal fractures of both bones forearm with limited contact dynamic compression or locked compression plate: comparison of clinical outcomes

Intramedullary Nailing Of Adult Isolated Diaphyseal Radius Fractures

Titanium Fiber Plates for Bone Tissue Repair

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