Supracutaneous locking compression plate as an external fixator in compound metaphyseal and diaphyseal fractures of tibia

Abstract

Background: Most of lower leg external fixation are bulky and cumbersome and provides only temporary bony stabilization. Anatomically pre-contoured supracutaneous LCP has been utilized by many authors as an external fixator in patients with metaphyseal and diaphyseal fractures of tibia. Aim: The aim of this study is to analyse the end result of Supracutaneous LCP as a definitive external fixation and its effect on rate of union in metaphyseal and diaphyseal fractures. Materials and methods: A complete of 30 patients of compound fractures of tibia underwent "supracutaneous plating" of the tibia using an LCP. Average age was 44 years. Regular screw tract dressings were done. Average period of follow-up was 13 months. Results: The plate was kept ex situ for a period of 24-30 weeks. Proximal metaphysis, diaphysis and distal metaphysis united in 14 weeks, 20 weeks and 16 weeks respectively. Total of 30 patients were operated for Supracutaneous LCP of which one complicated with Infected Non-union resulting in implant removal and other complicated with Non-union which later underwent internal fixation. Conclusion: In compound fractures of tibia supracutaneous LCP are often used as a definitive external fixator because it gives good results especially for metaphyseal fractures and fewer complication rates, with Adequate stability. Advantageous effect of LCP in facilitating wound healing, cosmetic surgery procedure. Because it does not strike the contralateral leg therefore cosmetically acceptable and functional while ambulation. Because of nonoverlapping of implants fracture healing is easily assessed on x rays.

Supracutaneous locking compression plating for the management of humerus fracture in a dog

“…Second postoperative week onwards the dog started bearing weight on the affected limb and normal weight bearing and sound gait were regained by sixth postoperative week. The findings on weight bearing were in accordance with Bansal et al (2020) in human patients.…”

Stabilization and Long-Term Outcome of a Tibiotarsal Fracture in a Turkey Vulture (Cathartes aura) Using a Supracutaneous Plating Technique

“…Supracutaneous plating has previously been described and established for fracture fixation in human primates, dogs, and cats. [9][10][11][12] Reported benefits include minimal soft tissue envelope disruption, the ability to easily retrieve implants from a patient, and an option to manage any concurrent soft tissue injuries while maintaining the mechanical properties of the locking plate fixation. The authors also believe that full biologic osteosynthesis is achieved with this technique due to zero disruption of the fracture hematoma.…”

“…Considering these challenges, we elected to place the plate on the lateral aspect of the crus contrary to the traditional medial placement in other species. [9][10][11][12] Anatomical reconstruction and internal fixation or using an ESF construct with an IM tie-in fixation system, may result in a permanent implant. To successfully re-release wildlife, metallic implants that could pose a hazard to its predators should be avoided.…”

“…Considering these challenges, we elected to place the plate on the lateral aspect of the crus contrary to the traditional medial placement in other species. 9 10 11 12…”