lcp locking compression plate - aotrauma...
TRANSCRIPT
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Thanatchaya Ratanarom ,RN. Lerdsin Hospital
Trained - 1991 AO Course for Operating Theatre Nurses - 1995 AO Fellowship at Cologne University Hospital,Cologne Germany - 1999AO Education Seminar for Operating Room Personnel - 2000 AO Advance Course for Operating Room Personnel -2001 AOEA Education Seminar for Operating Room Personnel KL,Malaysia - 2010 AO Trauma Faculty Training for ORP Davos, Switzerland - 2011 AO Trauma Chair- person Education Program - 2012 AO Trauma ORP Mentor Training Davos, Switzerland Professional Experiences - AO National Faculty since 1999 - AO National Faculty Mentor since 2010 -AO Regional Faculty since 2011: Malaysia,Myanmar,Australia ,Hong Kong
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LCP Locking Compression Plate
Thanatchaya Ratanarom Lerdsin Hospital
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Objectives
The participants should be able to
- Explain the design and usage of the locking
plates and the locking screws
- Explain the benefit of LCP and indications
- Outline the steps of procedure with the
corresponding instruments
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Plates—forms: evolution
• Round hole plate 1960 • DCP 1969
• LC DCP 1994 • LCP 2001
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Plates—forms: LCP Features of LCP
- Combihole:
• Locking head screws (LHS)
• Conventional screws Standard hole segment
Threaded hole segment
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Plates—forms: LCP
Features of LCP
. Combihole:
- Locking head screws (LHS)
- Conventional screws
• Minimal footprint
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Standard Plate vs Locking plate
Visible changes
Thread of the head Threaded plate hole
Distance between plate and bone
Increased diameter of the screw
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Indications for LCP
Osteoporosis
Short periarticular segment
Periprosthetic fracture
Minimally invasive plating
As an option as external fixator
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LPHP Philos Plate
LCP Distal Medial Tibia
4.5LCP Distal femur
4.5LCP Proximal
Tibia
Anatomical Location for LCP
3.5/4.5mm LCP Reconstruction plate
3.5LCP T-plate
3.5 LCP Narrow
3.5LCP L-plate
4.5LCP Broad Plate
4.5LCP T-plate
4.5LCP Proximal femur
LCP Distal medial
humerus
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The Technical Solution
Combi hole
Locking head
screws
Dynamic compression
screw
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External Fixator / Internal Fixator
Spac
e
Spac
e
Spac
e
Spac
e
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Drill Bit 4.3 mm.
Instruments for LCP 4.5/5.0
Laser mark
Plastic ring
Threaded LCP Drill Guide 4.3 mm
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Instruments for LCP 4.5/5.0
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Torque-Limiting Attachment, 4 Nm
Handle for Quick Coupling
Screwdriver Shaft
4 Nm.
Instruments for LCP 4.5/5.0
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Instruments for LCP 4.5/5.0
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Neutral position
Universal Drill Guide
- Drill bit 3.2
Instruments for LCP 4.5/5.0
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Instruments for LCP 4.5/5.0
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• LCP allows combination of two
anchorage concepts into one implant
• Can function as compression plate or
internal fixator or in combination
•Guidelines for use should be
followed to obtain optimal results
Conclusions
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Conclusions
• LCP is a type of Internal Fixator
• Three main Indications
Osteoporotic Bone
Short periarticular segments
Periprosthetic fracture
MIPO Technique
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For Your Attention
Thank You