Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Systemic
Abstract number: 25370
PITFALLS AND COMPLICATIONS WITH LOCKING COMPRESSION PLATE
(LCP) FIXATION
Hiroaki MINEHARA, Masataka UCHINO, Terumasa BOKU, Ken URABE, Moritoshi
ITOMAN
Department of Orthopaetic and Trauma Surgery, Kitasato University School of
Medicine, Sagamihara (JAPAN)
Introduction: LCP has been widely applied for fracture fixation as an internal fixator
with angular stability and preservation of periosteal blood supply. However, there
have been several reports about the problems related to these implants. In this study,
we reviewed fracture cases treated with LCP in our facility to investigate clinical
results and complications.Methods: 181 cases of 172 patients (102 male and 70
female) were included in this study. Average age at the time of injury was 43 years
old and plate removal was performed in 52 cases. Distribution of plates, numbers of
MIPO, peri-operative and post-operative complications were investigated.Results:
Distribution of plates fixations was as follows: clavicle 12cases, humerus 33 cases,
radius 61 cases, ulna 8 cases, pelvis 5 cases, femur 17 cases, tibia 36 cases, fibula
9 cases. MIPO was performed in 41 cases. Complications during operation included
screw breakage: 2 cases, screw removal difficulty: 8 cases. Post-operative
complications were infection: 3 cases, delayed union: 4 cases, screw loosening: 2
cases, soft tissue problems: 5cases.Conclusions: Accurate indications for fracture
fixation when applying LCP should be considered very carefully. Difficult implant
removal and soft tissue problems due to its bulky profile seemed distinctive
complications of LCP. Pre-operative planning and understanding of biomechanical
principles of osteosynthesis are essential.
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