tailieunhanh - báo cáo hóa học:" LCP external fixation - External application of an internal fixator: two cases and a review of the literature"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : LCP external fixation - External application of an internal fixator: two cases and a review of the literature | Woon et al. Journal of Orthopaedic Surgery and Research 2010 5 19 http content 5 1 19 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH CASE REPORT Open Access LCP external fixation - External application of an internal fixator two cases and a review of the literature Colin Yi-Loong Woon Merng-Koon Wong Tet-Sen Howe Abstract The locking compression plate LCP is an angle-stable fixator intended for intracorporeal application. 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. The first case went on to bony union while the second case required bone grafting for delayed union. Both patients found that the LCP external fixators facilitated mobilization and were more manageable and aesthetically acceptable than traditional bar-Schanz pin fixators. Introduction Plate external fixation is not a new concept. While it has been described in the management of open fractures 1-3 nonunion 1-4 septic arthritis 2 and even as an adjunct in distraction osteogenesis 5 Table 1 it is still deemed unconventional and does not enjoy the same place in classical textbooks as other methods of fracture fixation. Understandably the design of implants of old such as the Zespol implant Mikromed Sp. . Dabrowa Gór-nicza Poland 3 or dynamic compression plates DCPs Synthes Inc Paoli PA coupled with multiple nuts and washers 1 2 may have dissuaded surgeons who may have been otherwise more receptive to this technique. 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. It may thus be timely to consider