Shaheryar Aziz, Faheem Ahmed, Muhammad Usman Aslam.
Comparison of fixation between dynamic compression plate vs locking compression plate in lower limb diaphyseal fractures by bridge plating technique.
Pak J Med Health Sci Jan ;13(4):1011-4.

Background: Orthopedic surgeons often encounter diaphyseal femur fractures. Malunion and nonunion are most frequent complications because difficulty in reducing and keeping up the one reduction. A dynamic compression plate (DCP) is a metallic plate utilized in orthopedics for internal fixation of bone, normally after fractures. The Synthes Locking Compression Plate (LCP) system is a part of a treated steel and titanium plate and screw framework that merges locking screw technology with customary plating procedures. Aim : To compare the outcome of using dynamic compression plate versus locking compression plate in diaphyseal fractures of lower limb via bridge plating technique. Study design : Randomized Controlled Trial. Place and Study Duration : Department of Orthopaedic Surgery, at M. Islam Teaching Hospital Gujranwala covering the period from December 2018 to May 2019. Methods: This randomized control trial was conducted after taking ethical approval from board of studies. Ninety two patients were enrolled in this study from OPD and emergency . The non-probability purposive sampling technique was used in this study to include the patients. Patients were divided into two groups by using lottery method. In a group A, dynamic compression plate (DCP) was applied and its results were compared with group B, locking compression plate (LCP) was applied. Results: The mean age of the patients was 46.55±15.03 years, 73.91% patients were males and the male to female ratio was 2.8:1. Statistically there is significant difference was found between the weight bearing, callus formation, alignment and different complications post-operatively with DCP but LCP showed little better results than DCP. Conclusion: LCP technique is more effective and feasible for the treatment of diaphyseal fractures of lower limb in comparison with DCP technique.

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