Saikia Kc, Bhuyan Sk, Bhattacharya Td, Borgohain M, Jitesh P, Ahmed F
Department of Orthopaedics, Gauhati Medical College and Hospital, Guwahati, Assam, India.
Indian J Orthop. 2011 Sep;45(5):417-21. doi: 10.4103/0019-5413.83762.
The locking compression plate (LCP) with combination holes is a newer device in fracture fixation. We undertook a study comparing the LCP with limited contact dynamic compression plate (LC-DCP) in the treatment of diaphyseal fractures of both bones of the forearm.
This is a prospective comparative study, 36 patients (18 in each group) with fractures of both the forearm bones (72 fractures) were treated with one of the two devices. The average age of the patients was 30.5 years (range 16-60 years) with mean followup of 2.1 years (range 1.5-2.8 years). The patients were assessed for fracture union and function and complications and by Disabilities of the Arm, Shoulder and Hand (DASH) score for patient related outcome at the latest followup.
There was no significant difference in two groups with respect to the range of movements or grip strength. One case had delayed union (LC-DCP group) and another had synostosis (LCP group). Plate removal was done in four cases within the study period with no refracture till the presentation of this report.
LC plating is an effective treatment option for fractures of both bones of forearm. The present study could not prove its superiority over LC-DCP.
带有组合孔的锁定加压钢板（LCP）是骨折固定领域的一种新型器械。我们开展了一项研究，比较LCP与有限接触动力加压钢板（LC-DCP）在治疗尺桡骨骨干骨折中的效果。
这是一项前瞻性对照研究，36例双侧前臂骨骨折患者（每组18例，共72处骨折）分别采用这两种器械之一进行治疗。患者平均年龄30.5岁（范围16 - 60岁），平均随访2.1年（范围1.5 - 2.8年）。在最近一次随访时，对患者进行骨折愈合、功能及并发症评估，并采用手臂、肩部和手部功能障碍（DASH）评分评估与患者相关的预后情况。
两组在活动范围或握力方面无显著差异。1例出现延迟愈合（LC-DCP组），另1例出现骨桥形成（LCP组）。在研究期间，4例进行了钢板取出，至本报告发表时均未发生再骨折。
LC钢板是治疗双侧前臂骨骨折的一种有效治疗选择。本研究未能证实其优于LC-DCP。
