Locking Compression Plates vs. LC-DCP

  • ortho7746
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16 years 1 month ago - 16 years 1 month ago #27277 by ortho7746
Locking Compression Plates vs. LC-DCP was created by ortho7746
I know that LCP are all the rage now, but how do they compare to LC-DCP's? What are the advantages and how do they differ. I cannot find information anywhere about LC-DCPs. Any help would be appreciated!

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16 years 1 month ago - 16 years 1 month ago #8671 by
Replied by on topic see link
www.wheelessonline.com/ortho/the ... ion_plates

also info on the ao website

hope that helps

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16 years 1 month ago - 16 years 1 month ago #8681 by
they work using different principles. LC-DCP achieve fixation by friction between the plate and the bone. Compression can be applied with an articulated tensioner or using eccentric screw placement in the holes. LCP plates with locking screws are a fixed angle construct, kind of like a bunch of mini blade plates. It is also called an "internal fixator" since the mechanics are similar to a ex-fix. It does not rely on friction b/t the plate and bone so it does not have to be directly on the bone (hence the ease of sliding it up a submuscular, (vs subperiosteal) plane.
Another difference is cost, especially the screws.
Say you have a non/minimally comminuted both bone forearm fx. using locking plates does not add much except cost. Now, bridging a large area of comminution or in people with osteoporotic bone is another story. There is a good JAAOS article recently talking about locked plating.

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