科研之友
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摘要
There have been a large number of clinical studies to approve the application of locking compression plate (LCP) is effective in treatment of comminuted fracture of long bones. However, orthopedists also find stiffness of the LCP construct lead to nonunion by preventing micromotion at the fracture site. Distinctly, treatment of bone nonunion is challenging as a more effective operation mode is always a necessity. The dynamization surgery, which is often applied to intramedullary nails to generate micromotion, may be one possible solution for fracture nonunion that caused by the extremely rigid LCP. We herein introduce a splintered tibiofibular fracture case treated with the LCP but developed into bone nonunion. The patient was treated with dynamization surgery, namely, by taking out three locking screws closest to the fracture site, and then achieved successful bone healing one year later. In this regard, we aimed at understanding the principle of the LCP more in-depth to correctly utilize it for treating complicated comminuted fractures.
- 出版日期2017
- 单位复旦大学
