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Peter Kloen - One of the best experts on this subject based on the ideXlab platform.

  • metaphyseal locking Compression Plate as an external fixator for the distal tibia
    International Orthopaedics, 2012
    Co-Authors: Sven A F Tulner, S D Strackee, Peter Kloen
    Abstract:

    Purpose Recently we coined the term supercutaneous plating using a locking Compression Plate (LCP) as an external fixator. The use of this technique in peri-articular areas is facilitated by the development of anatomical Plates with various screw sizes. The purpose of this report is to describe our results using the metaphyseal locking Plate (LCP) as an external fixator in the treatment of infected post-traumatic problems of the distal tibia.

  • clinical evaluation of locking Compression Plate fixation for comminuted olecranon fractures
    Journal of Bone and Joint Surgery American Volume, 2009
    Co-Authors: Geert A Buijze, Peter Kloen
    Abstract:

    BACKGROUND: In patients managed with Plate fixation for the treatment of an olecranon fracture, the placement of an axial intramedullary screw may obstruct the placement of bicortical screws in the ulnar shaft. To overcome this problem, unicortical screws can be applied with use of a contoured locking Compression Plate. The present study was designed to assess the effectiveness of this fixation method. METHODS: Nineteen consecutive patients with an acute comminuted olecranon fracture were managed with a contoured locking Compression Plate and intramedullary screw fixation. Sixteen patients were available for follow-up at a minimum of twelve months after fixation. Patient-based outcomes were assessed, and patient satisfaction and pain were evaluated. RESULTS: All nineteen fractures healed. The mean time to fracture union was four months. The mean Disabilities of the Arm, Shoulder and Hand score was 13. According to the Mayo Elbow Performance Index and the Broberg and Morrey grading system, fifteen of the sixteen patients with at least one year of follow-up had a good or excellent outcome. Nine patients underwent hardware removal at a mean of twelve months postoperatively. The mean elbow extension deficit in these patients improved significantly from 34 degrees to 10 degrees following hardware removal. The mean flexion improved from 118 degrees to 138 degrees , but this difference was not significant. CONCLUSIONS: In the treatment of comminuted olecranon fractures, a contoured locking Compression Plate combined with an intramedullary screw provides sufficient stability for early postoperative functional rehabilitation, with an excellent fracture union rate and very good clinical outcomes

  • clinical evaluation of locking Compression Plate fixation for comminuted olecranon fractures
    Journal of Bone and Joint Surgery American Volume, 2009
    Co-Authors: Geert A Buijze, Peter Kloen
    Abstract:

    BACKGROUND: In patients managed with Plate fixation for the treatment of an olecranon fracture, the placement of an axial intramedullary screw may obstruct the placement of bicortical screws in the ulnar shaft. To overcome this problem, unicortical screws can be applied with use of a contoured locking Compression Plate. The present study was designed to assess the effectiveness of this fixation method. METHODS: Nineteen consecutive patients with an acute comminuted olecranon fracture were managed with a contoured locking Compression Plate and intramedullary screw fixation. Sixteen patients were available for follow-up at a minimum of twelve months after fixation. Patient-based outcomes were assessed, and patient satisfaction and pain were evaluated. RESULTS: All nineteen fractures healed. The mean time to fracture union was four months. The mean Disabilities of the Arm, Shoulder and Hand score was 13. According to the Mayo Elbow Performance Index and the Broberg and Morrey grading system, fifteen of the sixteen patients with at least one year of follow-up had a good or excellent outcome. Nine patients underwent hardware removal at a mean of twelve months postoperatively. The mean elbow extension deficit in these patients improved significantly from 34 degrees to 10 degrees following hardware removal. The mean flexion improved from 118 degrees to 138 degrees , but this difference was not significant. CONCLUSIONS: In the treatment of comminuted olecranon fractures, a contoured locking Compression Plate combined with an intramedullary screw provides sufficient stability for early postoperative functional rehabilitation, with an excellent fracture union rate and very good clinical outcomes

Pang Qi-xion - One of the best experts on this subject based on the ideXlab platform.

  • Effect of locking Compression Plate in treatment of proximal humerus fracture
    Journal of Xinxiang Medical University, 2013
    Co-Authors: Pang Qi-xion
    Abstract:

    Objective To investigate the effect of locking Compression Plate in the treatment of proximal humerus fractures. Methods Forty patients with proximal humerus fracture were divided into observation group and control group,twenty cases in each group.The patients in observation group were treated with locking Compression Plate,the patients in control group were treated with ordinary Plate.The operation time,intraoperative bleeding volume,fracture healing time and clinical effect were compared between the two groups.Results The operation time and fracture healing time in observation group were significantly shorter than those in control group(P0.01),the intraoperative bleeding volume in observation group was significantly less than that in control group(P0.01).The total effective rate in observation group and control group was 100.0% and 80.0%,respectively;the total effective rate in observation group was significantly higher than that in control group(P 0.05).Conclusion Locking Compression Plate for treatment of proximal humerus fracture has less trauma,quick recovery and good prognosis function.

Qu Yu-xin - One of the best experts on this subject based on the ideXlab platform.

  • Treating humeral shaft fractures by dynamic Compression Plate or locking Compression Plate
    Journal of Hainan Medical University, 2011
    Co-Authors: Qu Yu-xin
    Abstract:

    Objective: To compare the effects of dynamic Compression Plate(DCP) and locking Compression Plate(LCP) on humeral shaft fracture.Methods: Data of 29 patients with humeral shaft fracture were treated with the DCP(18 cases) or LCP(11 cases) from Jun 2007 to Jun 2010 were retrospectively analyzed.Results: An average of 10.5 months follow up ranging from 5 to 20 months was conducted in these patients.The union of fractures was achieved in an average of 16.7 weeks(ranging from 14-30 weeks) for those underwent DCP which was significant shorter than the corresponding 13.6 weeks(ranging from 13-19 weeks) for patients had LCP(P0.05).According to the Neer Scoring System for the shoulder function evaluation,13 patients had an excellent result,5 had a good result in DCP group,the corresponding number was 8 and 3 in LCP group.The damaged function of the radial nerves in 3 cases mostly recovered in an average of 18.3 weeks ranging from 14-28 weeks.Conclusion: Open-reduction skill combing with LCP fixation are effective and safe treatment the humeral shaft fracture.

R. Frigg. - One of the best experts on this subject based on the ideXlab platform.

  • Locking Compression Plate (LCP). An osteosynthesis Plate based on the Dynamic Compression Plate and the Point Contact Fixator (PC-Fix)
    Injury, 2001
    Co-Authors: R. Frigg.
    Abstract:

    Based on many years of experience with Compression plating and promising results obtained with so-called internal fixators, an implant system was developed which combines the two treatment methods in one implant. Despite the combination of these different fracture treatment techniques, no compromises were made with regard to application as a Compression Plate or as a bridging device in the form of an internal fixator. The individual construction elements in this new implant system have individually proven themselves extremely valuable in clinical practice. The integration of these well proven elements into the new implant system has made it compatible with the majority of existing instruments and conventional screws. The surgeon is free to select the best treatment method to suit the fracture situation and to make combinations as and when necessary. The LCP (Locking Compression Plate), the product of these combinations, is in line with the latest plating techniques, the aim of which is to achieve the smallest possible surgical incisions and to preserve the blood supply to the bone and the adjacent soft tissues.

Geert A Buijze - One of the best experts on this subject based on the ideXlab platform.

  • clinical evaluation of locking Compression Plate fixation for comminuted olecranon fractures
    Journal of Bone and Joint Surgery American Volume, 2009
    Co-Authors: Geert A Buijze, Peter Kloen
    Abstract:

    BACKGROUND: In patients managed with Plate fixation for the treatment of an olecranon fracture, the placement of an axial intramedullary screw may obstruct the placement of bicortical screws in the ulnar shaft. To overcome this problem, unicortical screws can be applied with use of a contoured locking Compression Plate. The present study was designed to assess the effectiveness of this fixation method. METHODS: Nineteen consecutive patients with an acute comminuted olecranon fracture were managed with a contoured locking Compression Plate and intramedullary screw fixation. Sixteen patients were available for follow-up at a minimum of twelve months after fixation. Patient-based outcomes were assessed, and patient satisfaction and pain were evaluated. RESULTS: All nineteen fractures healed. The mean time to fracture union was four months. The mean Disabilities of the Arm, Shoulder and Hand score was 13. According to the Mayo Elbow Performance Index and the Broberg and Morrey grading system, fifteen of the sixteen patients with at least one year of follow-up had a good or excellent outcome. Nine patients underwent hardware removal at a mean of twelve months postoperatively. The mean elbow extension deficit in these patients improved significantly from 34 degrees to 10 degrees following hardware removal. The mean flexion improved from 118 degrees to 138 degrees , but this difference was not significant. CONCLUSIONS: In the treatment of comminuted olecranon fractures, a contoured locking Compression Plate combined with an intramedullary screw provides sufficient stability for early postoperative functional rehabilitation, with an excellent fracture union rate and very good clinical outcomes

  • clinical evaluation of locking Compression Plate fixation for comminuted olecranon fractures
    Journal of Bone and Joint Surgery American Volume, 2009
    Co-Authors: Geert A Buijze, Peter Kloen
    Abstract:

    BACKGROUND: In patients managed with Plate fixation for the treatment of an olecranon fracture, the placement of an axial intramedullary screw may obstruct the placement of bicortical screws in the ulnar shaft. To overcome this problem, unicortical screws can be applied with use of a contoured locking Compression Plate. The present study was designed to assess the effectiveness of this fixation method. METHODS: Nineteen consecutive patients with an acute comminuted olecranon fracture were managed with a contoured locking Compression Plate and intramedullary screw fixation. Sixteen patients were available for follow-up at a minimum of twelve months after fixation. Patient-based outcomes were assessed, and patient satisfaction and pain were evaluated. RESULTS: All nineteen fractures healed. The mean time to fracture union was four months. The mean Disabilities of the Arm, Shoulder and Hand score was 13. According to the Mayo Elbow Performance Index and the Broberg and Morrey grading system, fifteen of the sixteen patients with at least one year of follow-up had a good or excellent outcome. Nine patients underwent hardware removal at a mean of twelve months postoperatively. The mean elbow extension deficit in these patients improved significantly from 34 degrees to 10 degrees following hardware removal. The mean flexion improved from 118 degrees to 138 degrees , but this difference was not significant. CONCLUSIONS: In the treatment of comminuted olecranon fractures, a contoured locking Compression Plate combined with an intramedullary screw provides sufficient stability for early postoperative functional rehabilitation, with an excellent fracture union rate and very good clinical outcomes