Selection of Plate in Internal Fixation of Fractures: Locking Plate and Compression Plate

Jae-Yong Park; Je-Hyun Yoo

doi:10.12671/jkfs.2013.26.1.92

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Park and Yoo: Selection of Plate in Internal Fixation of Fractures: Locking Plate and Compression Plate

Review Article

Journal of the Korean Fracture Society

Journal of the Korean Fracture Society 2013; 26(1): 92-102.

Published online: 17 January 2013

DOI: https://doi.org/10.12671/jkfs.2013.26.1.92

Selection of Plate in Internal Fixation of Fractures: Locking Plate and Compression Plate

Jae-Yong Park, M.D., Je-Hyun Yoo, M.D., Ph.D.

Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.

Address reprint requests to: Je-Hyun Yoo, M.D., Ph.D. Department of Orthopaedic Surgery, Hallym University Sacred Heart, Hospital, 22, Gwanpyeong-ro 170-gil, Dongan-gu, Anyang 431-070, Korea. Tel: 82-31-380-3770, Fax: 82-31-382-1814, oships@hallym.ac.kr

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Figures and Tables

Fig. 1

Dynamic compression principle. Since the screw is inserted into an inclined and transverse cylindrical holes in DCP, the horizontal movement of the screw head can occur along the screw hole. This movement results in movement of the bone fragment relative to the plate and leads to compression of the fracture site. DCP: Dynamic compression plate.

Fig. 2

Combination holes of LCP (Synthes®, Oberdorf, Switzerland). LCP: Locking compression plate.

Fig. 3

Alternative holes of ZPLP (Zimmer®, Warsaw, IN, USA).

Fig. 4

(A-D) A 46-year-old male with comminuted fractures of the distal femur, patella and proximal tibia.

(E, F) Distal femur fracture was fixed with locking compression plate (LCP), using bridging plating technique and bone union was achieved one year after surgery.

(G, H) Patella was fixed with vertical and cerclage wiring. Intraarticular proximal tibia fracture was fixed with LCP and a lag screw using a compression plating technique. Bony union was uneventfully achieved.

Fig. 5

(A) A 32-year-old female with simple fracture of the distal tibia and fibula.

(B) Distal tibia was reduced and fixed with LCP using MIPO technique. Five months after operation, delayed union was seen.

(C) Complete union was achieved at one year postsurgery.

LCP: Locking compression plate, MIPO: Minimal invasive percutaneous plate osteosynthesis.

Fig. 6

(A, B) A 71-year-old female with periprosthetic fracture of the distal femur above the femoral component after total knee arthroplasty.

(C) The fracture was percutaneously reduced and fixed with periarticular LCP.

LCP: Locking compression plate.

Fig. 7

(A, B) A 74-year-old female with long spiral fracture of the distal femur with the fracture extension into a lateral femoral condyle (black arrow).

(C) The fracture was fixed with LCP using MIPO technique.

(D) Two months after surgery, she slipped down and peri-plate fracture occurred at the proximal end screw site.

LCP: Locking compression plate, MIPO: Minimal invasive percutaneous plate osteosynthesis.

Fig. 8

(A) A 64-year-old male with multifragmentary fracture of the femur shaft with canal diameter of 7 mm.

(B) The fracture was reduced using percutaneous wiring and fixed with LCP using MIPO technique.

(C) One year after surgery, union was obtained around fracture segments.

LCP: Locking compression plate, MIPO: Minimal invasive percutaneous plate osteosynthesis.

Fig. 9

The schematic drawing showing the plate length and plate screw density in a bridging plating technique using LCP in a comminuted fracture of the distal femur. The overall plate screw density of the construct in this example is 0.47. LCP: Locking compression plate.

Fig. 10

(A) Malalignment and nonunion was shown eight months after intramedullary (IM) nailing was performed for segmental subtrochanteric femur fracture.

(B) Revision surgery with blade plate using compression method was performed with autoiliac bone grafting after removal of the IM nail.

Table 1

The Indication of LCP38)

LCP: Locking compression plate.

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