lcp并發(fā)癥

1、Problems in Locked Plating,LCP,LCP,LCP,,,2000,,,Male 42y R,What’s Wrong,?,Beijing Ji Shui Tan Hospital2005,6—2007,3,Complications: n=24Femoral Fr. n= 7 casesTibia Fr.

2、 n= 13 casesProximal humeral Fr. n= 1 caseHumeral shaft Fr. n= 1 caseForearm Fr. n= 1 case,Complications,Failure of Fixation 6Nonunion

3、 8Delayed union 6Skin irritation 2Penetration 1Infection 2,Failure of Fixation,Nonunion,F 26y R open fr,2006-2-16,2007-2-26,Delaye

4、d Union,,05-06-09,11 months,14 months,Skin irritation /Penetration,,,Infection,Reasons for Complications,Disturbance of blood supplyMechanism of LCP FxReduction Choice of plate/screwTechnical mistakes,Blood S

5、upply,Soft tissue damageLoss of blood clotBridge Plating-nonunion Preoperative plan: fixator/ORIF? Bone graft?,Damage of Soft Tissue,,Mechanism of LCP Fx Guideline,Length of plate/length of fractur

6、e comminuted fr >2---3 simple fr >8—10Plate screw density< 0.5—0.4,—— Gautier E, Sommer C. Guidelines for the clinical application of the LCP.Injury. 2003;34(suppl 2):B63–B76.,“ The longer

7、the bridging plate，the better ”,— Wagner M General principles for the clinical use of the LCP. Injury. 2003 Nov;34 Suppl 2:B31-42.,Length of Plate,,Compression,Compression,,LCP,Conventional compression p

8、late Intra-articular /metaphyseal fr(simple)Bridging plate metaphyseal/ diaphyseal fr(comminuted)Combination (segmental fr) Simple fr.- compression Comminuted Fr- bridging plate

9、,“to lock or not to lock”,Locking,the screw is inserted into the bone?,Placement of plate,,Exposure of the other end of plate Check with X-ray,,Guide device,Miss Locking,Screw placementparallel to the joint

10、 line,,,Reduction,Anatomical reduction is not required DOES NOT MEAN Reduction is not required!,M 44y 8 months,Not Reduced,,,,,The more simple the fracture is, the more precise the red