Comparison of treatment of femoral shaft fracture between Dynamic compression plate and Locking compression plate
Keywords:
femoral shaft fracture, Dynamic compression plate, Locking compression plateAbstract
Objective : To compare the result of the treatment for no comminution and small comminution fracture shaft of femur between dynamic compression plate and locking compression plate
Method : A retrospective study in patients with femoral fractures grouped in Winquist and Hansen classification 0 and 1 who were admitted to the orthopedic department in Mahasarakham Hospital from January 1st, 2017 - December 31st, 2020, totaling 121 cases by studying data from medical records and X-ray film to compare the treatment outcomes between patients undergoing ORIF with DCP and ORIF with LCP.
Result : DCP found complication significantly more than LCP (p-value = 0.002). DCP found complication in 9 cases, divided into 5 delayed unions and 4 failure plates. In all 9 case was a patient in Winquist and Hansen type 1, LCP found no complication for both type 0 and type 1. DCP and LCP had a similar the average time to radiographic union, DCP 4.99 months, LCP 5.08 months (p-value = 0.607). In the subgroup, in DCP, type 1 patients had a statistically significantly greater the average time to radiographic union than type 0, type0 4.36 months, type1 5.24 months (p-value = 0.041), but there was no difference in LCP.
Conclusion : In Winquist and Hansen classification type 1, LCP are more appropriate than DCP because of their better results. In the case of Winquist and Hansen type 0, both DCP and LCP showed no difference in treatment results.
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