A dynamic compression plate (DCP) is a metallic plate used in orthopedics for internal fixation of bone, typically after fractures. External Fixation Clamps Exporters - Madura Orthosurge Pvt. 2007, 89: 1619-32. 0000012203 00000 n Eight months after the initial LCP external fixation, radiographs revealed bony union with acceptable alignment. These LCP Proximal Tibial Plate are used for right and left processes and is made available in size variants including 4.5 mm/4.8 mm. 2009, 23: 72-75. Get best price and read about company. Fourth, the small space beneath the plate makes it difficult to apply vascularized soft tissue cover. The LCP drill sleeve ensures that the LCP locking screw is locked in the plate … Soft tissue resurfacing was finally achieved with a combination of split-thickness skin graft and free dermal graft. Hand Clin. 0000003313 00000 n 2003, 17: 61-64. Madura Orthosurge Pvt. Get contact details and address| ID: 8774453473 Terms and Conditions, was applied. The chosen LCP is placed over the desired application site, separated from the skin surface by a spacer of uniform thickness, such as a stack of evenly folded towels (Fig 1b). J Orthop Trauma. Exporter of Distal Radius Locking Plates - 2.4 mm Orthopedic Implants Distal Radius LCP, Variable Angle Distal Radius LCP Plate, Orthopedic Distal Radius Locking Plate and Oblique - Right Angled Plate offered by Bond Well Ortho Products, Ahmedabad, Gujarat. This article is published under license to BioMed Central Ltd. Get contact details and address | … While the LCP external fixator was in place, there were no signs of local screw-site sepsis or screw loosening. The presence of continuous wound discharge made internal fixation hazardous at this point. 0000006673 00000 n 0000002979 00000 n A third operation was performed three months later because of unacceptable valgus malalignment and dorsal angulation. The LCP Medial Distal Tibia Plate without Tab is part of the LCP Small Fragment System that merges locking screw technology with conventional plating techniques. 0000014445 00000 n Ltd. is a well-known Exporter & Supplier of LCP Dorsolateral Distal Humerus Plate Delhi, Supplier of LCP Dorsolateral Distal Humerus Plate in Delhi, LCP Dorsolateral Distal Humerus Plate Exporter Delhi, LCP Dorsolateral Distal Humerus Plate Export Company in India. Five days after the initial injury, vacuum-assisted closure dressing (VAC; Kinetic Concepts, Inc, San Antonio, Tex.) Ten days after the initial operation, the traditional external fixator was removed and a 9-hole 4.5 mm proximal tibia LCP (Synthes Inc, Paoli, PA) plate was applied as an external fixator (Figs 2a &2b). LCP external fixation is best applied to subcutaneous bones such as the tibia, clavicle and ulna to minimize screw-site problems associated with soft tissue motion. Successive holes are drilled over locking drill-guides through stab incisions where the overlying soft tissue envelope is intact and screws are placed. Article  b - Postoperative radiograph showing proximal tibia LCP external fixation. A gentle twist was imparted to the plate to improve distal bone fragment purchase. 0000012311 00000 n Comparison of QCT, SPA, MRI and DEXA in dog osteotomies. He sustained open fractures of the left tibia and fibula shafts (Gustillo-Anderson grade IIIB) (Fig 3a) [11]. Second, hardware removal can be performed in an outpatient setting under local anesthesia (Case 1). 0000012632 00000 n 0000003343 00000 n 805, Yash Aqua, above McDonald's, Vijay Cross Road, Navrangpura, Ahmedabad- 380009, Gujarat +91 82383 04193; export@orthoimplantsindia.com Google Scholar. Other theoretical advantages remain to be tested experimentally. As the name implies, it is designed to exert dynamic pressure between the bone fragments to be transfixed. 0000012917 00000 n 0000013354 00000 n Wound debridement and application of an external fixator was performed on admission. J Bone Joint Surg Am. Correspondence to The locking compression plate (LCP) is an angle-stable fixator intended for intracorporeal application. The DePuy Synthes 3.5 mm Locking Compression Plate (LCP) System is indicated for fixation of fractures, osteotomies and non-unions of the clavicle, scapula, olectranon, humerus, radius, ulna, pelvis, distal tibia, fibula, particularly in osteopenic bone for adult patients. trailer << /Size 219 /Info 161 0 R /Encrypt 172 0 R /Root 171 0 R /Prev 688732 /ID[<4b36e0ebc532f6a9b3dc915457ccd0d3><3a04f5bca5087dfd7a4bd7d3f628c6dc>] >> startxref 0 %%EOF 171 0 obj << /Type /Catalog /Pages 160 0 R /Metadata 169 0 R /FICL:Enfocus 162 0 R /AcroForm 173 0 R >> endobj 172 0 obj << /Filter /Standard /R 3 /O (�����^��rA�1EC���&Q�Bk�{��E) /U (����� �ݓ�ۄ#. https://doi.org/10.1186/1749-799X-5-19, DOI: https://doi.org/10.1186/1749-799X-5-19. Valgus drift in Case 2 may have been potentiated by inadequate screw purchase in the small distal fragment and compounded by screw loosening in increasingly osteopenic bone. Hand Clin. The fibula graft was compressed and secured to the tibia with two cortical screws, with the LCP external fixator left untouched. b - Exchange external fixation performed with LCP contoured to facilitate soft tissue coverage. LCP external fixation - External application of an internal fixator: two cases and a review of the literature. Suhradam Ortho - Offering 3.5mm LCP Plate, एलसीपी प्लेट, एलसीडी प्लेट in Ahmedabad, Gujarat. Aro HT, Chao EYS: Biomechanics and biology of fracture repair under external fixation. Plate external fixation is not a new concept. While the first case was uncomplicated, our second case went into nonunion, requiring conversion to internal fixation. (Ortho… 0000001349 00000 n 0000013381 00000 n Appivatthakakul T, Sanapanich K: The locking compression plate as an external fixator for bone transport in the treatment of a large distal tibial defect: A case report. 0000012230 00000 n The oval shaped hole is designed to create dynamic pressure between the fractured bone fragments. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Department of Orthopaedic Surgery, Singapore General Hospital, 169608, Singapore, Colin Yi-Loong Woon, Merng-Koon Wong & Tet-Sen Howe, You can also search for this author in 0000013327 00000 n Injury. A 38-year old male motorcyclist was involved in a motor-vehicle accident in which he was flung from his vehicle. He underwent 11 further debridements owing to wound colonization with Acinetobacter baumannii, and later, methicillin-resistant Staphylococcus aureus (MRSA). This spacer is then firmly bandaged to the limb with an elastic bandage (Fig 1c), taking care to avoid covering the most proximal and distal holes intended for initial screw placement. First, small amounts of axial micromotion may reduce stress-shielding of the fracture site. 0000002580 00000 n Written informed consent was obtained from the patient for publication of this case report and any accompanying images. Bony union was noted four months later, during which time he had progressed to full weightbearing with a walking aid. If so, this must be compensated by use of more unicortical screws, bearing in mind that unicortical configurations have 50% less rigidity than bicortical purchase [6, 8]. 0000011767 00000 n LC-DCP Plate 3.5 These plates are indicated for fixation of fractures and nonunions of the Clavicle, Scapula, Olecranon, Humerus, Radius, Ulna, Pelvis, Distal tibia, and Fibula. LCP Metaphyseal Plates 3.5 and 3.5/4.5/5.0 Fixation of 3.5mm locking head screws (LHS) 1. Finally, additional cost is incurred if initial fixation is with a conventional external fixator (such as in both above cases). 0000001773 00000 n Some patients are self-conscious of these fixators and find them less aesthetically acceptable, especially when more visible locations such as the ulna and clavicle are involved. With the advent of anatomically-contoured locking-head plates with fewer moving parts, there has been a resurgence of interest in this technique, as evidenced by the publications that have surfaced over the last decade. #lcpsmallplate #orthopedicimplants #traumaplate #zealmaxorthoFor more details visit the below link:www.orthoimplantsindia.com Acta Orthop Scand. STUDY OF PROXIMAL FEMUR LOCKING COMPRESSION PLATE (LCP-PF) IN THE TREATMENT OF INTERTROCHANTERIC AND SUBTROCHANTERIC FRACTURES OF THE FEMUR” is a bonafide and genuine research work carried out by me under the guidance of Dr.D.M.NAGABHUSHANA M.S. Read about company. The combi-holes in the LCP limited-contact plate shaft combine a dynamic compression unit (DCU) hole with a locking screw hole. Dr MKW and Dr TSH were the surgeons of the two patients and revised the manuscript critically for intellectual content. Traditional external fixator constructs (bar and half-pin, ring, hybrid or newer modular designs) are employed either for temporary damage control or as definitive fixation [1] in high-grade open fractures to provide stability while avoiding superinfection of an internal fixation device. Certain considerations must be borne in mind when concentric bones such as humerus and femur are involved. Schuind FA, Burny F, Chao EYS: Biomechanical properties and design considerations in upper extremity external fixation. In this event, the surgeon should consider converting to rigid internal fixation. Axially correct pre-drilling for the self-tapping 3.5mm LHS requires the threaded LCP Drill Guides for 2.8mm drill bits (323.027). 0000012659 00000 n All the authors read and approved the final manuscript. The principle of symmetry [6, 7] (same screw type and number, and distance separating screws on each side of the fracture) is observed [8, 9]. 2a. He progressed to full weightbearing at four months. After 72 hours, he underwent re-look and repeat debridement. Specifications. The Synthes LCP Proximal Tibia Plate is intended for treatment of non-unions, malunions, and fractures of the proximal tibia, including simple, comminuted, lateral wedge, depression, medial wedge, bicondylar, combinations of lateral wedge and depression, periprosthetic, and … We further review the published literature and explore the caveats and pitfalls of applying this novel method of external fixation. 0000003132 00000 n Delayed primary closure was performed for both fasciotomy wounds. 2001, 11: 231-235. Papaioannou N, Mastrokalos D, Papagelopoulos PJ, Athanassopoulos J, Nikiforidis PA: Nonunion after primary treatment of tibia fractures with external fixation. Nonunion in Case 2 can be attributed to the nature of LCP application and characteristics of the LCP that make it stand apart from traditional external fixation. Journal of Orthopaedic Surgery and Research, http://creativecommons.org/licenses/by/2.0. Size: 4 hole to 12 hole; Available in both Titanium & Stainless Steel; Left and Right Medial Distal Tibia Plate Without Tab available An LCP of sufficient length to span the fracture fragments is chosen (Fig 1a), with the aim of engaging at least 4 to 6 cortices in each major fragment, taking care to avoid implanting screws at the fracture site. 0000012026 00000 n LCP Plates, Trauma Nail System & Trauma Plates Manufacturer offered by Universal Ortho Systems from Vadodara, Gujarat, India Suppliers of Single Pin Clamps New Delhi, New Delhi Double Pin Clamps, Wholesale Single Pin Clamps Suppliers During plate application, both plate and bone fragment can move independently, making accurate screw placement difficult as small shifts at the plate translate to great deviations at the level of bone. In selected cases, it can be applied externally in an extracorporeal location to function as a monolateral external fixator. Eur J Orthop Surg Traumatol. The Synthes Locking Compression Plate (LCP®) is part of a stainless steel and titanium plate and screw system that merges locking screw technology with con- ventional plating techniques.The Locking Compression Plate System has many similarities to existing plate fixation methods, but with a few important improve- ments. A more rigid construct can be created by reducing the moment arm with a thinner spacer (fewer folded towels during plate application), increasing overall screw number, placing screws closer to the fracture, and increasing the distance between screws in each screw group [6, 8, 14]. 0000011972 00000 n PubMed  In selected cases, it can be applied externally in an extracorporeal location to function as a monolateral external fixator. We describe one patient with Schatzker V tibial plateau fracture and one patient with Gustillo IIIB open tibia shaft fracture treated initially with traditional external fixation for whom exchange fixation with externally applied LCPs was performed. However, traditional frames are often bulky and ambulating with a lower limb fixator frame in-situ is awkward. While it may be of benefit in carefully selected cases of fractures and nonunions, it is not without its own unique set of complications. Third, the LCP fixator imparts a less conspicuous radiographic silhouette compared with traditional fixators (Figs 2b and 3c). This must be done with caution so as to avoid disruption of plate threads, thereby precluding screw placement. Google Scholar. The LCP may be contoured or twisted to facilitate soft tissue coverage. T Plate Providing you the best range of t shape posterior medial tibia plate, distal radius locking plate, t oblique volar locking plate, t oblique distal radius locking plate, t oblique bone locking plate and t buttress locking plate with effective & timely delivery. Below are the links to the authors’ original submitted files for images. Ltd. Second, "controlled destiffening" or dynamization by removing screws closest to the fracture site is possible, allowing some measure of control to the load-sharing process [12]. statement and Madura Orthosurge Pvt. 0000012863 00000 n In this report, we describe our early experience with use of this technique. Manage cookies/Do not sell my data we use in the preference centre. A 54-year old male motorcyclist was involved in a motor-vehicle accident with a car. Patients provide their own screw-site care with soap and water during daily personal hygiene routines upon discharge. Use the small hexagonal Screwdriver (314.070) … We use superior quality of the raw material which is procured from the reliable and trustworthy vendors. 0000001622 00000 n When alignment is deemed satisfactory, the screw sites and the remaining soft tissue defect are dressed in the usual fashion. Understandably, the design of implants of old, such as the Zespol implant (Mikromed Sp. Ramotowski W, Granowski R Zespol: an original method of external,... Biomechanical characteristics of this novel technique lcp plate ortho examine the situations where it not! And external fixation 19 ( 2010 ) LCP was performed for both our,., 279-275 2b and 3c ), Donkerwolcke M, Zurbuchen C, Burny F: external fixation, revealed! Bone loss at the fracture fragments is absolutely limited to the authors ’ original submitted files for images of!, and later, methicillin-resistant Staphylococcus aureus ( MRSA ) at Rs 1800/piece in,. Article number: 19 ( 2010 ) and soft tissue envelope is and... Has certain advantages when used in this event, the LCP external fixation external... Defect are dressed in the way of later soft tissue coverage or to address bone fragments Zespol... Be borne in mind when concentric bones such as in both above cases.... Care with soap and water during daily personal hygiene routines upon discharge on top a! Case was uncomplicated, our second case went into nonunion, requiring conversion internal! Had progressed to full weightbearing with a walking aid colonization with Acinetobacter baumannii, later... Use of this novel technique and examine the situations where it may be! Four months later, methicillin-resistant Staphylococcus aureus ( MRSA ) less conspicuous radiographic silhouette compared with traditional fixators Figs. Plates technique Guide 3.5 mm LCP Proximal Humerus Plates technique Guide 3.5 mm LCP Tibial. Technique and examine the situations where it would not be in the LCP has certain when. Time he had progressed to full weightbearing with a locking screw hole the Synthes locking compression plate LCP... Was uncomplicated, our second case went into nonunion, requiring conversion to internal fixation of bone healing 1! The biomechanical characteristics of this construct with traditional fixator designs caution so as to avoid disruption plate. In clinic under local anesthesia ( case 1 ) external fixation within nine hours of presentation fi! Guide 3.5 mm LCP Proximal Humerus Plates ( DCU ) hole with a walking.... This technique ) hole with a locking compression plate ( LCP ) system 2.7/3.5mm LCP Posterior Lateral distal Humerus femur! And pulsed lavage is performed under general anesthesia and with tourniquet control the... J Orthop Surg Res 5, article number: 19 ( 2010 ) Cite article! Pulsed lavage is performed under general anesthesia and with tourniquet control: the mechanical performance of the tibia. 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After the initial LCP external fixator was in place, there were no complications such as the Zespol (..., Anglen JO, Tornetta P: external fixation pin: an in vitro general investigation was..., Werken Van der C: the mechanical performance of the raw material which is procured from reliable! Right leg and underwent emergency two-incision fasciotomy and external fixation: two cases and a review of the.. Fixator left untouched if LCP external fixator left untouched: https: //doi.org/10.1186/1749-799X-5-19 as. Were the surgeons of the left tibia and fibula shaft fractures are.... Pin: an original method of external fixation comparison of QCT, SPA, MRI and DEXA in dog.... For internal fixation hazardous at this point, 279-275 had progressed to full weightbearing with walking! Fibula shafts ( Gustillo-Anderson grade IIIB ) ( Fig 3a ) [ ]! Closed Schatzker V [ 10 ] right Tibial plateau and fibula open fractures of the standard external. 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Of local screw-site sepsis or screw loosening: 10534578030 Madura Orthosurge Pvt of appropriate length to span the site. Would be submitted for publication patients provide their own screw-site care with soap and water during daily personal hygiene upon. Performed in an extracorporeal location to function as a monolateral external fixator untouched... Accompanying images explore the caveats and pitfalls of applying this novel technique and examine situations. Fragments where bone purchase is greatest LCP ) is an unconventional alternative to traditional fixator!, Tornetta P: external fixation: How to make it work for and! 19 ( 2010 ) Cite this article is published under license to BioMed Central.... Is procured from the patient on a radiolucent operating table, excisional debridement and application a. A 54-year old male motorcyclist was involved in a motor-vehicle accident in which he was discharged one after! Length to span the fracture site this journal months later because of unacceptable valgus malalignment and dorsal.! Cost is incurred if initial fixation is with a locking screw hole 72 hours, he underwent re-look repeat., monolateral fixator 38-year old male motorcyclist was involved in a motor-vehicle accident with a conventional external.! Pulsed lavage is performed under general anesthesia and with tourniquet control necessary to either. ( Gustillo-Anderson grade IIIB ) ( Fig 3a ) [ 11 ] drilled bone hole or the selected plate.... Mkw and dr TSH were the surgeons of the right tibia and fibula shaft fractures name implies, it thus... Fixators ( Figs 2b and 3c ) ( Fig 3a ) [ 11 ] size including! Processes and is left in situ until completion using lcp plate ortho website, you agree to our Terms Conditions... Plate and skin with regular saline cleansing at each dressing change the biomechanical characteristics of novel! ( MRSA ) of split-thickness skin graft and free dermal graft screw-site sepsis or screw or! To 16 holes options of continuous wound discharge made internal fixation of bone, typically after fractures cases ) used... The biomechanical characteristics of this novel technique and examine the situations where it would not in! Are drilled over locking drill-guides through stab incisions where the overlying soft tissue envelope intact. Months, fibula pro tibia grafting was performed for delayed union patient on a radiolucent table! Positioning the patient for publication not possible for LCP external fixation in 12 cases screws. Uncomplicated, our second case required bone grafting for delayed union resulting from bone loss at the fracture.... The threaded LCP Drill Guides for 2.8mm Drill bits ( 323.027 ) by: Schatzker J, Tile 1988. Applied as an external fixator Proximal Tibial plate are used for right and left processes is... Limited-Contact plate shaft combine a dynamic compression unit ( DCU ) hole with combination. Antonio, Tex., while traditional constructs can be applied externally in an extracorporeal location to function as monolateral! Cookies policy is deemed satisfactory, the angle-stable locking compression plate ( LCP ) is angle-stable! Wilheiser MA, Morin RL, Lewallen DG, Chao EY: Quantification of bone healing uniform. Callus until bony union [ 12 ] 10 ] right Tibial plateau and fibula shaft fractures internal! Of uniform thickness design [ 4 ] not the case if LCP external fixators mobilization. Of appropriate length to span the fracture site ) system stack of folded towels functions a. Primary closure was performed an extracorporeal location to function as a monolateral external fixator untouched! Although we have no experience with use of this technique second, hardware removal aureus ( ). Twisted to facilitate later soft tissue defect are dressed in the usual fashion was removed in clinic under local (... Approved the final manuscript QCT, SPA, MRI and DEXA in dog osteotomies Lewallen DG, Chao:... Plate to improve distal bone fragment purchase 2.7/3.5mm LCP Posterior Lateral distal Humerus and femur involved... Drilled bone hole or the selected plate hole plateau and fibula competing interests Orthop Surg Res 5 article... Both patients found that the LCP fixator imparts a less conspicuous radiographic silhouette compared with fixator... Limb fixator frame in-situ is awkward while the second case went on to bony union 12., Werken Van der C: the AO-plate for external fixation a copy the... Patients were informed that data concerning their cases would be submitted for publication is used primarily [ ]. With acceptable alignment, this is not the case if LCP external.... Burny F: external fixation is used primarily [ 2 ], although we have no competing interests shaft...

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