The Locking Compression Plate (LCP) for Distal Femoral Fractures

Mongkon Luechoowong

Abstract


PROBLEM/BACKGROUND: The second generation locking compression plate (LCP) applications for fractures associated with comminution, osteopenia, osteoporosis or minimal bone available for purchase, a new implant with angular stability; is not well studied.

OBJECTIVE: To study the clinical results of the locking compression plate in treatment of complex distal femoral fracture.

RESEARCH DESIGN: Retrospective descriptive study.

SETTING: Orthopaedic Department, Sukhothai Hospital.

MATERIALS and METHOD: Medical records of patients whom underwent LCP plating for complex distal femoral fractures from November, 2005 to September, 2007 in Sukhothai Hospital were reviewed and analyzed.

RESULTS: There were 13 male and 6 female patients in this study. The mean age was 41.6±19.4 years (13-78 years). Time to union was 12-38 weeks (median 17 weeks). Broken screw was observed in one case caused from slipping. Replating was applied and the fracture was union in 38 weeks with limited range of motion 0-70 degree. Infected wound was identified in one case (opened fractures IIIC gustilo/C2 intercondylar), after repeated debridement, infection was subside and bone union in 30 weeks. All fractures in this study were union. There was no device failure in three osteoporosed patients.

CONCLUSIONS: LCP plating is useful in treatment of complex distal femoral fractures, resulting in decrease operative time, complication and low infection rate. It may be substitute a conventional plate and screw system (compression method) in treatment of complex fracture of distal femur, especially osteoporotic bone.

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