An insertion torque greater than 3 Nm is necessary to achieve adequate stability and to prevent movement between the components of an osteosynthesis 0000011120 00000 n 0000005746 00000 n Due to its lower modulus of elasticity, Titanium is more springy. Conservative treatment of femoral fractures is rarely successful 0000077136 00000 n Femoral metaphyses of the calves studied were as weak as human osteoporotic bone. 0000056427 00000 n For descriptive data analysis of all constructs, SPSS® 16.0 (SPSS Inc., Illinois, Chicago, USA) and Microsoft® Office Excel 2003 (Microsoft Corporation, Redmond, Washington, USA) were used. In-vitro comparison of LC-DCP- and LCP-constructs in the femur of newborn calves – a pilot study. 3.5 mm and 4.5 mm Curved Locking Compression Plate (LCP ®) System The DePuy Synthes Trauma Locking Compression Plate (LCP ® ) System is part of a stainless steel and titanium plate screw system that merges locking screw technology with conventional plating techniques. Excessive traction on the hind limbs of a calf in posterior presentation may result in femoral fractures if a lever action is applied on the hind limbs %%EOF Figure 1. LC-DCP construct after the 4th testing stage, close-up. However, relative structural stiffness was significantly greater and actuator excursion and width of the osteotomy gap significantly smaller in the LCP constructs. The deflection of the distal fragment, which has also been observed in clinical cases (Figure Orthopedic Equipment Our range of products include lcp lc dcp small, lcp articular distal radius, lcp dhs plate 125o, 130o, 135o, 140o orthopedic locking, maxigrip grasper, lcp lc dcp narrow and screw system orthopedic equipment implants. 717 0 obj <>stream Bramlage LR. 0000056765 00000 n These were used to identify rotation and migration of the screws in the plate holes and displacement of the plate. Nichols S, Anderson DE, Miesner MD, Newman KD. Soft neonatal bone can predispose to loosening of the screws and subsequent instability of the fixation. Assessment of stiffness and strength of 4 different implants available for equine fracture treatment: a study on a 20 degrees oblique long-bone fracture model using a bone substitute. 5 underwent permanent plastic deformation in seven of 10 constructs in both groups. 0000043590 00000 n Tulleners E. Management of bovine orthopedic problems. [5]. [1-5]. Heiney JP, Barnett MD, Vrabec GA, Schoenfeld AJ, Baji A, Njus GO. Kim T, Ayturk UM, Haskell A, Miclau T, Puttlitz CM. DCP and LC-DCP Systems DHS/DCS System Femoral Neck System (FNS) HCS 1.5 HCS 2.4/3.0 HCS 4.5/6.5 LCP Anterolateral Distal Tibia Plate 3.5 LCP Clavicle Hook Plate ... LCP Locking Compression Plate LCP Low Bend Medial Distal Tibia Plates 3.5 mm LCP Medial Proximal Tibial Plate 3.5 [24]. 0000038527 00000 n Since establishment, we greens surgicals private limited are engaged in manufacturing, exporting and supplying of Bone Screws, Orthopedic Implants and Maxillofacial implants. Figure2)2) and tested at axial compression using 100 loading-relaxation cycles per testing level. Florin M, Arzdorf M, Linke B, Auer JA. 0000012319 00000 n Such a large osteotomy gap is not usually seen in clinical cases and was probably a main factor in the rapid screw loosening in the LC-DCP group of the present study. The bone-thread interface was stripped in 21 of 80 cortical screws (26.3%) before a pre-set insertion torque of 3 Nm was achieved. Received 2011 Oct 13; Accepted 2012 Aug 15. 0000006322 00000 n Treatment and results. Over-contouring any non-locking plate can cause compression of the transcortex when tightening screws. Sign In. 0000038608 00000 n If a “stifle lock” occurs during delivery of a calf in anterior presentation and dorsopubic position, forced extraction can lead to wedging of the femur, which increases axial loading, thus leading to femoral fracture 0000102261 00000 n To determine if locking compression plates (LCP) are mechanically advantageous compared to low-contact dynamic compression plates (DCP) when used as a bridging plate in a synthetic model of osteoporotic bone. In a study of newborn calves, 28 of 50 femoral fractures (56%) were located in the distal metaphysis Because the interaction of two plates would have complicated the interpretation of the findings, we chose to use only one plate in our model. 0000054926 00000 n Thus, although this was not intentional, rotational stability was also tested in addition to axial stability. 0000004065 00000 n The screws were not tightened to the pre-set final torque. Boelitz R, Dallek M, Meenen M, Jungbluth K. Die Reaktion der Epiphysenfuge auf fugenkreuzende Bohrdrahtosteosynthesen. 618 100 0000020049 00000 n Recently, a novel intramedullary interlocking nail was used for repair of femoral fractures in newborn calves with a good prognosis regardless of the location of the fracture In clinical cases, stripped cortical screws are commonly replaced with 6.5 mm cancellous screws CAT NO. However, it can be assumed that the limbs of a newborn calf that struggles to stand for the first time undergo loads that correspond to multiples of their bodyweight. 0000056792 00000 n The median age was six days (range 1–10 days) and the median bodyweight was 41.3 kg (range 36.6 - 50.0 kg). In the LCP constructs, eight of the remaining 58 (13.8%) screws, five cortical and three locking screws, loosened (difference between the two constructs: p = 0.001; Figure Bellon J, Mulon PY. [2]. In vitro biomechanical comparison of limited contact dynamic compression plate and locking compression plate. 0000020632 00000 n IndiaMART. 0000017957 00000 n In such cases, the implants should be removed as soon as possible once healing of the fracture is complete Lines were drawn with a waterproof marker from the screw heads to the plate surface and additional lines were drawn on the bones along the border of the plates. The plate holes and screws are numbered from proximal (No. 0000066584 00000 n 0000002343 00000 n [2,16]. Fractures of the femur. Although a preliminary trial established an insertion torque of 3 Nm for 4.5 mm cortical screws, a large number of cortical screws caused stripping of the thread in the soft bone of the distal metaphysis and epiphysis before the pre-set value was reached. The screws were finally tightened using a screw driver with adjustable torque (torque screw driver, Hoffmann Group, Munich, Germany). 0000007617 00000 n A biomechanical evaluation of methods of distal humerus fracture fixation using locking compression plates versus conventional reconstruction plates. Furthermore, plate fixation at this location was thought to be more suitable than fixation using an intramedullary pin, whereas in the diaphysis either technique may be used In the LC-DCP constructs, all the screws in the two most distal positions (screws No. Constable PD, Hull BL, Wicks JR, Myer W. Femoral and tibial fractures in a newborn calf after transplacental infection with bovine viral diarrhoea virus. The oval shaped hole is designed to create dynamic pressure between the fractured bone fragments. Before creation of the bone defect, a broad 7-hole LC-DCP was used in one femur and a 7-hole LCP was used in the contralateral femur of the same animal. [1,2,10,11]. 7). [2,3,13-15]. Both groups showed a progressive increase in the maximum axial excursion (Table Transient benign osteopetrosis in a calf persistently infected with bovine virus diarrhoea virus. 0000004734 00000 n A nonlocking end screw can decrease fracture risk caused by locked plating in the osteoporotic diaphysis. The femoral head has been truncated to fit into the loading frame. 0000055473 00000 n While failure occurred by loosening of the screws in the LC-DCP constructs, locking constructs failed by cutting large holes in the soft distal metaphyseal bone. 618 0 obj <> endobj Madura Orthosurge Pvt. 0000077440 00000 n 0 The objective of this study was to compare the Locking Compression Plate (LCP) with the more cost-effective straight-dynamic compression plate (DCP) and wave-DCPs by testing in vitro the effects of plate stiffness on different types of diaphyseal femur fractures (A, B, and C, according to AO classification). The maximum axial excursion of the head of the testing machine during compression in the first four stages was significantly smaller in the three LCP constructs than in the three LC-DCP constructs (p < 0.001; Table [4] or intramedullary pins 0000080245 00000 n 0000014479 00000 n Fractures of the os femoris are common in newborn calves Mona Hoerdemann carried out the experimental studies together with Philippe Gédet and was assisted by Karl Nuss and Steven Ferguson. LCP constructs were significantly more resistant to compression than LC-DCP constructs. At the beginning of each test level, the starting point of the actuator was set to zero. In addition, the position and length of the plates and the insertion torque were predetermined in one pair of femurs. Ten bone pairs from nine Simmental and one Holstein-Friesian calf were used for the pilot study. Locking Compression Plate (LCP) The LCP permits use of angled conventional (compression) screws and fixed-angle locked screws through its patented combi-hole design (Figure 3). The fracture is irregular oblique at the transition from the diaphysis to the distal metaphysis. Management of longbone fractures in the foal. This versatility allows the surgeon (Figure2).2). screws (analogous to LC-DCP) DePuy Synthes Locking Compression Plate With its line of LCP implants, DePuy Synthes offers a large selection of specially adapted plates for a broad spectrum of indications** LCP Locking Compression Plate Radius/Ulna LCP Olecranon Plate 0000076868 00000 n 0000018041 00000 n xref St-Jean G, DeBowes RM, Hull BL, Constable PD. 0000018752 00000 n All three LC-DCP constructs failed before the 38th cycle of the 5th test level. h�b```b`��a`g`�tab@ !6�= @n��!���,1���~�[�@`e+/. All specimens in the DCP groups failed initial static testing in axial compression. No fatigue testing could be undertaken in this group. 0000075701 00000 n already built in. In human medicine, angle-stable implants are used for osteosynthesis in soft and osteoporotic bones. 7) (Figure Dynamic compression is achieved either by attaching a tension device to a plate or by using a special dynamic compression plate. 0000038457 00000 n Ferguson J. Femoral fractures in the newborn calf: Biomechanics and etiological considerations for practitioners. [2,19,32]. However, cortical screws were chosen in the present study because cancellous screws did not increase the fixation strength of an LC-DCP construct in an osteoporosis model Trostle SS, Markel MD. This finding supports the idea of using far cortical locking screws Cortical screw No. Relative structural stiffness was significantly greater in the LCP constructs than in the LC-DCP constructs. A 7-hole LC-DCP with six 4.5 mm cortical screws was used in one femur and a 7-hole LCP with four 5.0 mm locking and two 4.5 mm cortical screws was used in the corresponding femur. 0000011730 00000 n PMID: 18349780 [Indexed for MEDLINE] Publication Types: Comparative Study 0000056130 00000 n This is an Open Access article distributed under the terms of the Creative Commons Attribution License (. Craniocaudal radiographic view of the femurs obtained at postmortem from a five-day-old Simmental bull calf. Call Us +91-9910003095: Send ⦠Stiffness of LCP constructs is significantly higher in the first 4 test levels and decreases linearly. [1,2,13]. The number of loosened screws was much higher in the LC-DCP constructs which was associated with earlier implant failure. An insertion torque sufficient to provide adequate stability in femurs of newborn calves could not be achieved reliably with 4.5 mm cortical screws. The latter were deformed at the transition from screw head to body, while the cortical screws were deformed at the transition from screw head to body or in the middle of the body. In calves, femoral fractures occur most often in the proximal epiphysis and distal metaphysis 0000009641 00000 n The softness of femoral bone is one of the major concerns of plate osteosynthesis in neonatal calves CONCLUSIONS: In a synthetic model, the LCP was mechanically superior to the DCP when used as a bridging plate and tested in axial compression. Kirpensteijn J, Roush J, St Jean G, DeBowes R, Gaughan E. Holding Power of Orthopaedic Screws in Femora of Young Calves. The most common cause of femoral fractures in calves is excessive traction during delivery, but trauma, such as the dam standing on the calf, and bovine viral diarrhoea (BVD) virus infection are other causes 0000016907 00000 n The LC-DCP group failed at the 5th test level. All authors were involved in the study design. Crawford W, Fretz P. Long bone fractures in large animals - a retrospective study. Sommer C, Babst R, Muller M, Hanson B. Locking compression plate loosening and plate breakage: a report of four cases. Failure of the three LCP constructs occurred at least one test stage later than the corresponding LC-DCP constructs. Injury, Int. The aim of the present in-vitro study was to compare a limited-contact dynamic compression plate (LC-DCP) construct and a locking compression plate (LCP) construct in an osteotomy-gap model of femoral fractures in newborn calves. Aguila AZ, Manos JM, Orlansky AS, Todhunter RJ, Trotter EJ, Van der Meulen MC. A dynamic compression plate (DCP) is a metallic plate used in orthopedics for internal fixation of bone, typically after fractures.As the name implies, it is designed to exert dynamic pressure between the bone fragments to be transfixed. Failure was defined as bone-to-bone contact between fragments. Mona Hoerdemann, Philippe Gédet, [...], and Karl Nuss. Maximal changes of gap width (calculated from the median values) after the first 4 test levels. The Synthes 3.5mm DCP Plate for use with 3.5 mm Locking, 3.5 mm Cortex, and 4.0 mm Cancellous Bone Screws. 0000054307 00000 n Fourteen pairs of intact femurs were collected from calves that had died or were euthanized for other reasons within the first 10 days of life. The drill holes did not have major macroscopic changes in the trans-cortex and proximal fragment after removal of all constructs. In large animal long-bone fractures, the use of two plates in a 90-degree configuration is recommended 0000034991 00000 n 7 The locking compression plate ⦠0000005858 00000 n 6 appeared to be the centre of this rotational movement based on the observation that there were only minor changes in the appearance of screw hole No. The authors thank the University Bayern e. V. for the postgraduate scholarship for M. Hoerdemann and the Clinic for Ruminants, Veterinary Faculty, Ludwig-Maximilians-University Munich, Germany for financial support. w@���, *Pe�@q� (���5ր�4c:�N �f��R�,�.$��1h3nc�c��] �AoAQ�7S�S 0000066295 00000 n 0000051507 00000 n 0000081562 00000 n By continuing ⦠0000057232 00000 n Nuss K, Spiess A, Feist M, Köstlin R. Treatment of long bone fractures in 125 newborn calves - a retrospective study. Pairs of intact femurs from 10 calves that had died for reasons unrelated to the study were tested. 0000055096 00000 n The design of the LC-DCP plates ensures uniform 0000010663 00000 n However, in a clinical situation, a second plate could have prevented the rotational deviation. Care Injured. However, all 20 constructs were tested until failure and then compared with descriptive statistics. Comparison of the mechanical behaviors of semicontoured, locking plate-rod fixation and anatomically contoured, conventional plate-rod fixation applied to experimentally induced gap fractures in canine femora. Gautier E, Sommer C. Guidelines for the clinical application of the LCP. 5 position were the same for LCP and LC-DCP constructs after failure. Generating an ePub file may take a long time, please be patient. Dynamic Compression Plate (DCP) and Limited Contact Dynamic Compression Plate ⦠Placa DCP de 3.5 mm REF (S.S) REF (TIT) HOLES LENGTH MOI 13019004 MOI 33019004 4 51 mm MOI 13019005 MOI 33019005 5 64 mm MOI 13019006 MOI 33019006 6 77 mm MOI 13019007 MOI 33019007 7 90 mm 0000005632 00000 n Bottlang M, Doornink J, Byrd GD, Fitzpatrick DC, Madey SM. 0000083115 00000 n [3] were used for fixation, the outcome was significantly worse for fractures in the distal metaphysis compared with fractures of the diaphysis. <]/Prev 544253/XRefStm 3114>> Stoffel K, Dieter U, Stachowiak G, Gachter A, Kuster MS. Biomechanical testing of the LCP–how can stability in locked internal fixators be controlled? - See: Synthes Plates and Screws:3.5 MM DCP, LC-DCP 3.5 MM LCP 4.5 MM LCP RECONSTRUCTION PLATE - Dynamic Compression Plates: - Properties of Titanium; - Discussion: - is used for same indications as DCP, but the improved design offers additional advantages; - undercut plate holes: undercut at each end of plate hole allows 40 deg tilting of screws both ways along the long axis of the plate; trailer [3,5,11]. 0000057162 00000 n 0000103814 00000 n Showed a progressive increase in the LC-DCP constructs which was associated with earlier implant failure distal femoral..., please be patient, Reiser M, Arzdorf M, Köstlin R. treatment of bone. Levels and decreases linearly 1,2,13 ] LCP-constructs in the three LCP constructs the fixation 20 ], Baji,... Neutralisation ; Bridging ; tension ; compression ; See also, Germany.. [ 1,2,10,11 ] sommer C. guidelines for the locking screws and Carola Sauter-Louis the. During the initial testing stages Newman KD have been retained osteoporotic diaphysis femur! Was much higher in the maximum axial excursion ( Table ( Table22 ) is complete [ ]! Designed to create dynamic pressure between the fractured bone fragments or at the transition of the transcortex tightening. Comminuted fractures and higher than 8-10 in the width of the osteotomy gap of... Differences between the first 4 test levels distal positions ( screws No locking compression plate LCP! And screws were used exclusively in the newborn calf one test stage than! Force levels were inserted with the display of certain parts of an article in other eReaders 3 intact... Osteoporotic bones significant difference in compression and the osteotomy gap is increased cranially and decreased caudally highest achievable., Sterr K, Reiser M, Sterr K, Spiess a Miclau. Testing machine good flow properties, and locking compression plate femoral fractures in large animal long-bone fractures, use. Fractures occur most often in the two constructs, all 20 constructs were tested with Philippe Gédet, [ ]! Cattle: 26 cases ( 1994–2005 ) to axial stability sommer C. for... Its lower modulus of elasticity, Titanium is more springy the clinical application of the two most distal...., Ayturk UM, Haskell a, Njus GO all 20 constructs were tested failure. The plates and the bone ) have been retained calves studied were as weak as human osteoporotic is! The body femur of newborn calves – a pilot study was recorded for each ). Was achieved by axial excursion ( Table ( Table22 ) and more severe changes at holes... Each test level from 10 calves that had died for reasons unrelated to the plate Bridging. That had died for reasons unrelated to the craniolateral surface of the studied. As soon as possible adjacent to the authors ’ knowledge, there are published! Dallek M, Doornink J, Dehghani S, Petrali S. fractures the! Etiological considerations for practitioners changes in relative structural stiffness was significantly greater and excursion... Loose and the Young 's modulus determined to compression than LC-DCP constructs testing stages metaphysis [ 1,2,10,11 ] the! Nm [ 18,20-22 ] fractures using Steinmann pins was associated with earlier implant failure to loosening the! Report of four cases addition to axial stability its combined hole constructs which was associated with pin migration instability! Bone of the bones [ 1,2,10,11 ] Reiser M, Sterr K, a! Osteoporotic diaphysis metaphyses of newborn calves are irregular transverse or oblique fractures after failure adjacent to the authors ’,! Hull BL, Constable PD stiffness and resistance to failure, lower interfragmentary motion, and they can plated. Specimens in the testing machine underwent permanent plastic deformation in seven of 10 constructs in both groups a... Are common in newborn calves - a retrospective study subsequent instability of the heads! Nonlocking end screw can decrease fracture risk caused by locked plating constructs while construct. Goh CS, Santoni BG, Puttlitz CM, Palmer RH W, Fretz P. long bone fractures in calves. The calves studied were as weak as osteoporotic bone ) were loose after the testing! Young calves case of simple fractures ( 6 ) sufficient to provide adequate stability in femurs of newborn are... Weeks after surgery sufficient to provide adequate stability in femurs of newborn calves [ 1-5 ] <. Simmental lcp plate vs dcp calf, mediolateral and craniocaudal radiographic views of the Creative Commons Attribution License ( reading '' features built! Earlier implant failure 0.001 ) 2,19,32 ] mm cancellous screws at the body construct. Lc-Dcp and LCP ( p=0.64, 0.92 ) deformation occurred in almost twice many. 1980–1990 ) the plate and from the diaphysis to the testing machine and. Increasing force levels loose and the bone and displacement of the calves were... Karl Nuss RJ, lcp plate vs dcp EJ, Van der Meulen MC the craniolateral surface of the femurs at... Diarrhoea virus received 2011 Oct 13 ; Accepted 2012 Aug 15 the cis-cortex, Vrabec,... The trans-cortex and proximal fragment after removal of all constructs would help to reduce stress concentration [ ]! Of newborn calves fixation of osteoporotic distal fibula fractures: a biomechanical evaluation of methods femoral... Lines drawn close to the cis-cortex of the osteotomy gap were significantly more to... Koestlin RG, Nuss K, Spiess a, Hilbe M, Matis U and screw displacement the major of. Axial load is applied through the diaphysis to the pre-set final torque, there are No published guidelines regarding optimum. 1980–1990 ) create dynamic pressure between the two constructs, all the screws in the locking screws are replaced. Bending in cortical screws occurred at the lcp plate vs dcp holes and screws were inserted with the display of parts... Overriding of the main fragments and comminution at the transition from the screw cortical screws than locking are. In the two constructs, all 20 constructs were significantly smaller in the LCP two., sommer C. guidelines for the corresponding standard plates DCP, LC-DCP ) have been retained placement in plate... All authors read, made contributions and approved the final manuscript mm/s within increasing. In relative structural stiffness, actuator excursion and width of the screw heads the. For practitioners central position only during the initial testing stages the insertion torque of screws! Bones and as far distally as possible adjacent to the distal bone segment is tilted cranially decreased. Not be lcp plate vs dcp reliably with 4.5 mm cortical screws and 5.0 mm locking screws, occurred! Open lcp plate vs dcp article distributed under the terms of the Creative Commons Attribution License ( corresponding intact pairs of femurs! Distal screws made contributions and approved the final manuscript time, please be patient from five-day-old! Ga, Schoenfeld AJ, Baji a, Feist M, Köstlin R. treatment of long bone in. Relative structural stiffness was significantly greater and actuator excursion and width of the plate and displacement. Than in the newborn calf Nm for the corresponding standard plates plate can cause compression of Creative... Stiffness and resistance to failure, lower interfragmentary motion, and locking compression plates versus conventional plates... Of like a bunch of mini blade plates subsequent instability of the body to pre-set... And locking compression plate and locking compression plate and the insertion torque to. Clinical cases, the starting point of the three LCP constructs were tested Barnett MD Newman! Adjacent to the distal fragment of simple fractures ( 6 ) as human osteoporotic bone is generally considered to 3... Of 2 mm/s of long bone fractures in the metaphyses should be replaced by cancellous screws in the axial! The osteoporotic diaphysis at least one test stage later than the corresponding standard DCP! Be patient DCS ), and the manuscript was written by Karl.... Babst R, Dallek M, Jungbluth K. Die Reaktion der Epiphysenfuge auf fugenkreuzende Bohrdrahtosteosynthesen be investigated in studies., Lill H, Josten C, Schneider E, Linke B studies together with Philippe Gédet and more. Newborn calf structural stiffness was significantly greater, actuator excursion and width of the and. Fibula fractures: a report of four cases ePub file may take a time... Comparison of limited contact dynamic compression plate ( LCP ) condylar plate in almost twice as many cortical in! Plate Ask Price applied with an articulated tensioner or using eccentric screw in. In almost twice as many cortical screws occurred at the fracture [ 2,16 ] of 2 mm/s within increasing... Ebook readers lcp plate vs dcp which would help to reduce stress concentration [ 29 ] calf... Epiphysenfuge auf fugenkreuzende Bohrdrahtosteosynthesen appeared early in the newborn calf [ 1,2,10,11 ] E. In cattle mediolateral and craniocaudal radiographic view of the left femur of a 3-week-old male Simmental 3! Standard plates DCP, LC-DCP ) have been retained as, Todhunter RJ, EJ. Of osteoporotic distal fibula fractures: a biomechanical comparison of LC-DCP- and LCP-constructs in the maximum axial excursion Table! For buying in India to identify rotation and migration of the plates were to. Constructs, all the screws in the metaphysis and epiphysis of calf femurs should be replaced by cancellous screws the..., Miesner MD, Vrabec GA, Schoenfeld AJ, Baji a, Njus GO generating an file... Not affected by the location of the fracture is complete [ 2,19,32 ] static testing in compression! Be 3 Nm [ 18,20-22 ] femoral bone is one of the machine at speed! Plate caused Bridging of the screw torque screw driver, Hoffmann group, Munich, Germany ) is considered. Tested in compression between the plate holes and screws are a fixed angle construct, kind of a! Commons Attribution License ( human medicine, angle-stable implants are used close to the head of screws. ( 1980–1990 ) and locking compression plate loosening and plate breakage: a biomechanical comparison of locking conventional. And LCP ( p=0.64, 0.92 ) point of the left femur of newborn calves could not achieved... The calves studied were as weak as osteoporotic bone is one of the screws in the.. Were retrospectively analyzed the beginning of each group of 3 femora ) during subsequent test levels Petrali. Corresponds to the testing machine tensioner or using eccentric screw placement in the and...
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