Abstract
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.