Locking Compression Plate External Fixation and External Fixator in Treating Open Fractures of the Tibia_West China Medical Journal

Authors：

 LUOZhong-chun , LIUKai , SONGChun-lin , ZHONGLang ,  JIANGJun-wei

Department of Orthopedics, People's Hospital of Leshan, Leshan, Sichuan 614000, P. R. China;

Corresponding?author：

JIANGJun-wei, Email: 285061643@qq.com

Keywords：

Locking compression plate; External fixation; Tibia fracture; Open fracture

DOI：

10.7507/1002-0179.20150350

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the therapeutic effect of using locking compression plate (LCP) as an external fixator and using an external fixator on open fractures of the tibia. Methods Between September 2010 and December 2012, 56 patients with the open tibia fractures underwent external fixation using LCP as an external fixator (LCP group, n=22) or external fixator (external fixator group, n=34). We compared the healing time, the rate of postoperative complication and the postoperative function between two groups. Results The mean healing time was 11 weeks (8-28 weeks) and there was 1 case of delayed healing in the LCP group. The mean healing time was 14 weeks and there was 4 cases of delayed healing in the external fixator group. We found significant difference in the healing time (t=2.740, P=0.008) and the infection rate of pin track (13.6% vs 32.4%; χ²=2.496, P=0.114) between the LCP and external fixator group. Conclusion For open fractures of the tibia, using LCP as an external fixator may increase the healing time and decrease the rate of postoperative complications.

Citation： LUOZhong-chun, LIUKai, SONGChun-lin, ZHONGLang, JIANGJun-wei. Locking Compression Plate External Fixation and External Fixator in Treating Open Fractures of the Tibia. West China Medical Journal, 2015, 30(7): 1213-1216. doi: 10.7507/1002-0179.20150350 Copy

1.	Marti RK, van der Werken C. The AO-plate for external fixation in 12 cases[J]. Acta Orthop Scand, 1991, 62(1):60-62.
2.	Kerkhoffs GM, Kuipers MM, Marti RK, et al. External fixation with standard AO-plates:technique, indications, and results in 31 cases[J]. J Orthop Trauma, 2003, 17(1):61-64.
3.	Ramotowski W, Granowski R. Zespol. An original method of stable osteosynthesis[J]. Clin Orthop Relat Res, 1991(272):67-75.
4.	Kloen P. Supercutaneous plating:use of a locking compression plate as an external fixator[J]. J Orthop Trauma, 2009, 23(1):72-75.
5.	史天林, 高占良, 宋小龍. 鎖定加壓鋼板外置在脛腓骨骨折治療中的應用[J]. 中國骨與關節損傷雜志, 2014, 29(6):33-34.
6.	謝志堅, 楊星華, 官正華. 鎖定鋼板外置治療脛骨骨折臨床療效分析[J]. 西部醫學, 2013, 25(8):1176-1177.
7.	陶建軍, 白勝波. 鎖定鋼板外置治療脛骨骨折的臨床效果觀察[J]. 現代診斷與治療, 2014, 25(5):992-994.
8.	Johner R, Wruhs O. Classification of tibial shaft fractures and correlation with results after rigid internal fixation[J]. Clin Orthop Relat Res, 1983(178):7-25.
9.	Wagner M, Frigg R. AO manual of fracture management internal fixators, concepts and cases using LCP and LISS[M]. Stuttgart:ieme, 2006:135-154.
10.	Epari DR, Kassi JP, Schell H, et al. Timely fracture-healing requires optimization of axial fixation stability[J]. J Bone Joint Surg Am, 2007, 89(7):1575-1585.
11.	Kanchanomai C, Phiphobmongkol V. Biomechanical evaluation of fractured tibia externally fixed with an LCP[J]. J Appl Biomech, 2012, 28(5):587-592.
12.	Papaioannou N, Mastrokalos D, Papagelopoulos PJ, et al. Nonunion after primary treatment of tibia fractures with external fixation[J]. Eur J Orthop Surg Traumatol, 2001, 11(4):231-235.
13.	占志勇, 王毅, 劉名. 外置鎖定鋼板治療開放性脛腓骨骨折療效分析[J]. 中國骨與關節損傷雜志, 2014, 29(6):113.
14.	Briggs BT, Chao EY. The mechanical performance of the standard Hoffmann-Vidal external fixation apparatus[J]. J Bone Joint Surg Am, 1982, 64(4):566-573.
15.	Andrianne Y, Wagenknecht M, Donkerwolcke M, et al. External xation pin:an in vitro general investigation[J]. Orthopedics, 1987, 10(11):1507-1516.
16.	Aro HT, Chao EY. Biomechanics and biology of fracture repair under external fixation[J]. Hand Clin, 1993, 9(4):531-542.

1. Marti RK, van der Werken C. The AO-plate for external fixation in 12 cases[J]. Acta Orthop Scand, 1991, 62(1):60-62.
2. Kerkhoffs GM, Kuipers MM, Marti RK, et al. External fixation with standard AO-plates:technique, indications, and results in 31 cases[J]. J Orthop Trauma, 2003, 17(1):61-64.
3. Ramotowski W, Granowski R. Zespol. An original method of stable osteosynthesis[J]. Clin Orthop Relat Res, 1991(272):67-75.
4. Kloen P. Supercutaneous plating:use of a locking compression plate as an external fixator[J]. J Orthop Trauma, 2009, 23(1):72-75.
5. 史天林, 高占良, 宋小龍. 鎖定加壓鋼板外置在脛腓骨骨折治療中的應用[J]. 中國骨與關節損傷雜志, 2014, 29(6):33-34.
6. 謝志堅, 楊星華, 官正華. 鎖定鋼板外置治療脛骨骨折臨床療效分析[J]. 西部醫學, 2013, 25(8):1176-1177.
7. 陶建軍, 白勝波. 鎖定鋼板外置治療脛骨骨折的臨床效果觀察[J]. 現代診斷與治療, 2014, 25(5):992-994.
8. Johner R, Wruhs O. Classification of tibial shaft fractures and correlation with results after rigid internal fixation[J]. Clin Orthop Relat Res, 1983(178):7-25.
9. Wagner M, Frigg R. AO manual of fracture management internal fixators, concepts and cases using LCP and LISS[M]. Stuttgart:ieme, 2006:135-154.
10. Epari DR, Kassi JP, Schell H, et al. Timely fracture-healing requires optimization of axial fixation stability[J]. J Bone Joint Surg Am, 2007, 89(7):1575-1585.
11. Kanchanomai C, Phiphobmongkol V. Biomechanical evaluation of fractured tibia externally fixed with an LCP[J]. J Appl Biomech, 2012, 28(5):587-592.
12. Papaioannou N, Mastrokalos D, Papagelopoulos PJ, et al. Nonunion after primary treatment of tibia fractures with external fixation[J]. Eur J Orthop Surg Traumatol, 2001, 11(4):231-235.
13. 占志勇, 王毅, 劉名. 外置鎖定鋼板治療開放性脛腓骨骨折療效分析[J]. 中國骨與關節損傷雜志, 2014, 29(6):113.
14. Briggs BT, Chao EY. The mechanical performance of the standard Hoffmann-Vidal external fixation apparatus[J]. J Bone Joint Surg Am, 1982, 64(4):566-573.
15. Andrianne Y, Wagenknecht M, Donkerwolcke M, et al. External xation pin:an in vitro general investigation[J]. Orthopedics, 1987, 10(11):1507-1516.
16. Aro HT, Chao EY. Biomechanics and biology of fracture repair under external fixation[J]. Hand Clin, 1993, 9(4):531-542.

West China Medical Journal

Locking Compression Plate External Fixation and External Fixator in Treating Open Fractures of the Tibia

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