Guidelines for the clinical application of the LCP.

Details

Serval ID
serval:BIB_1693553891EA
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Guidelines for the clinical application of the LCP.
Journal
Injury
Author(s)
Gautier E., Sommer C.
ISSN
0020-1383 (Print)
ISSN-L
0020-1383
Publication state
Published
Issued date
2003
Volume
34
Number
Suppl. 2
Pages
B63-B76
Language
english
Notes
Publication types: Journal Article ; ReviewPublication Status: ppublish
Abstract
The Locking Compression Plate (LCP), in combination with the LISS and the PHILOS, is part of a new plate generation requiring an adapted surgical technique and new thinking about commonly used concepts of internal fixation using plates. The following guidelines are needed to avoid failures and possible complications in the hands of surgeons not yet confident with the new implant philosophy. The importance of the reduction technique and minimal-invasive plate insertion and fixation is addressed to keep bone viability undisturbed. Understanding of mechanical background for choosing the proper implant length and the type and number of screws is essential to obtain a sound fixation with a high plate span ratio and a low plate screw density. A high plate span ration decreases the load onto the plate. A high working length of the plate in turn reduces the screw loading, thus fewer screws need to be inserted and the plate screw density can be kept low. Knowledge of the working length of the screw is helpful for the proper choice of monocortical or bicortical screws. Selection is done according to the quality of the bone structure and is important to avoid problems at the screw thread bone interface with potential pullout of screws and secondary displacement. Conclusive rules are given at the end of this chapter.
Keywords
Biomechanics, Bone Plates, Bone Screws, Fracture Fixation, Internal/instrumentation, Fracture Fixation, Internal/methods, Humans, Internal Fixators, Practice Guidelines as Topic, Prosthesis Design
Pubmed
Web of science
Create date
26/11/2012 19:09
Last modification date
20/08/2019 12:46
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