Acta Chir Orthop Traumatol Cech. 2006; 73(4):221-228 | DOI: 10.55095/achot2006/032

Principles and Clinical Application of the Locking Compression Plate (LCP)Current concepts review

P. NIEMEYER*, N. P. SÜDKAMP
Depatment of Orthopedic Surgery and Traumatology Freiburg University Hospital, Freiburg i. Br., Germany

The principle of the locking compression plate (LCP) is represented by the combination of two completely different anchorage technologies and two opposed principles of osteosynthesis in one implant it combines the principles of conventional plate osteosynthesis for direct anatomical reduction with those of bridging plate osteosynthesis. Since the LCP can be used as a conventional plate using only dynamic compression, as a pure internal fixator using locking head screws, or as both combined, it provides the surgeon with multiple variations. Nevertheless, these new possibilities mean that preoperative planning and an understanding of the different biomechanical principles of osteosynthesis are essential if good clinical outcomes are to be achieved and maximum benefit is to be attained from the options offered by the LCP system.
The current article provides biomechanical background to and guidelines for the use of LC plates in the operative treatment of fractures and also reports experimental and clinical results obtained with LCP.

Accepted: May 2, 2006; Published: August 1, 2006  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
NIEMEYER P, SÜDKAMP NP. Principles and Clinical Application of the Locking Compression Plate (LCP). Acta Chir Orthop Traumatol Cech. 2006;73(4):221-228. doi: 10.55095/achot2006/032. PubMed PMID: 17026880.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. BLATTER, G., WEBER, B. G.: Wave plate osteosynthesis as a salvage procedure. Arch. orthop. traum Surg., 109: 330-3, 1990. Go to original source... Go to PubMed...
    2. FLORIN, M., ARZDORF, M., LINKE, B., AUER, J. A.: Assessment of stiffness and strength of 4 different implants available for equine fracture treatment: a study on a 20 degrees oblique long-bone fracture model using a bone substitute. Vet. Surg., 34: 231-8, 2005. Go to original source... Go to PubMed...
    3. FRANKIE, L., XIANG, Z.: Locking compression plate fixation for periprosthetic femoral fracture. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi, 16: 123-5, 2002.
    4. FRIGG, R.: Development of the Locking Compression Plate. Injury, 34 Suppl. 2: B6-10, 2003. Go to original source... Go to PubMed...
    5. GARDNER, M. J., BROPHY, R. H., CAMPBELL, D., MAHAJAN, A., WRIGHT, T. M., HELFET, D. L., LORICH, D. G.: The mechanical behavior of locking compression plates compared with dynamic compression plates in a cadaver radius model. J. orthop. Trauma, 19: 597-603, 2005. Go to original source... Go to PubMed...
    6. GAUTIER, E., SOMMER, C.: Guidelines for the clinical application of the LCP. Injury, 34 Suppl. 2: B63-76, 2003. Go to original source... Go to PubMed...
    7. GERBER, A., GANZ, R.: Combined internal and external osteosynthesis a biological approach to the treatment of complex fractures of the proximal tibia. Injury, 29 Suppl. 3: C22-8, 1998. Go to original source... Go to PubMed...
    8. HANSMANN, C.: Eine neue Möglichkeit der Fixierung der Fragmente bei komplizierten Frakturen. Verh. dtsch. Ges. Chir., 158, 1886.
    9. IMATANI, J., NODA, T., MORITO, Y., SATO, T., HASHIZUME, H., INOUE, H.: Minimally invasive plate osteosynthesis for comminuted fractures of the metaphysis of the radius. J. Hand Surg., 30-B: 220-5, 2005. Go to original source... Go to PubMed...
    10. KAAB, M. J., FRENK, A., SCHMELING, A., SCHASER, K., SCHUTZ, M., HAAS, N. P.: Locked internal fixator: sensitivity of screw/plate stability to the correct insertion angle of the screw. J. orthop. Trauma, 18: 483-7, 2004. Go to original source... Go to PubMed...
    11. KORNER, J., DIEDERICHS, G., ARZDORF, M., LILL, H., JOSTEN, C., SCHNEIDER, E., LINKE, B.: A biomechanical evaluation of methods of distal humerus fracture fixation using locking compression plates versus conventional reconstruction plates. J. orthop. Trauma, 18: 286-93, 2004. Go to original source... Go to PubMed...
    12. KORNER, J., LILL, H., MULLER, L. P., ROMMENS, P. M., SCHNEIDER, E., LINKE, B.: The LCP-concept in the operative treatment of distal humerus fractures-biological, biomechanical and surgical aspects. Injury, 34 Suppl. 2: B20-30, 2003. Go to original source... Go to PubMed...
    13. LEUNG, F., ZHU, L., HO, H., LU, W. W., CHOW, S. P.: Palmar plate fixation of AO type C2 fracture of distal radius using a locking compression plate - a biomechanical study in a cadaveric model. J. Hand Surg., 28-B: 263-6, 2003. Go to original source... Go to PubMed...
    14. LILL, H., HEPP, P., KORNER, J., KASSI, J. P., VERHEYDEN, A. P., JOSTEN, C., DUDA, G. N.: Proximal humeral fractures: how stiff should an implant be? A comparative mechanical study with new implants in human specimens. Arch. orthop. traum., Surg., 123: 74-81, 2003. Go to original source... Go to PubMed...
    15. MUSGRAVE, D. S., IDLER, R. S.: Volar fixation of dorsally displaced distal radius fractures using the 2.4-mm locking compression plates. J. Hand Surg., 30-A: 743-9, 2005. Go to original source... Go to PubMed...
    16. PERREN, S. M.: Backgrounds of the technology of internal fixators. Injury, 34 Suppl. 2: B1-3, 2003. Go to original source... Go to PubMed...
    17. PERREN, S. M., LINKE, B., SCHWIEGER, K., WAHL, D., SCHNEIDER, E.: Aspects of internal fixation of fractures in porotic bone. Principles, technologies and procedures using locked plate screws. Acta Chir. orthop. Traum. čech., 72: 89-97, 2005.
    18. PERREN, S. M., PERREN, T., SCHNEIDER, E.: Are the terms "biology" and "osteosynthesis" contradictory? Ther. Umsch. 60: 713-21, 2003. Go to original source... Go to PubMed...
    19. RING, D., KLOEN, P., KADZIELSKI, J., HELFET, D., JUPITER, J. B.: Locking compression plates for osteoporotic nonunions of the diaphyseal humerus. Clin. Orthop., 50-4, 2004. Go to original source... Go to PubMed...
    20. ROZBRUCH, S. R., MULLER, U., GAUTIER, E., GANZ, R.: The evolution of femoral shaft plating technique. Clin. Orthop., 195-208, 1998. Go to original source... Go to PubMed...
    21. SCHUPP, A., TUTTLIES, C., MOHLIG, T., SIEBERT, H. R.: Distal radius fractures. 2.4 mm locking compression plates. Are they worth the effort? Chirurg, 74: 1009-17, 2003. Go to original source... Go to PubMed...
    22. SCHUTZ, M., KOLBECK, S., SPRANGER, A., ARNDT-KOLBECK, M., HAAS, N. P.: Palmar plating with the locking compression plate for dorsally displaced fractures of the distal radius-first clinical experiences. Zbl. Chir., 128: 997-1002, 2003.
    23. SOMMER, C.: Fixation of transverse fractures of the sternum and sacrum with the locking compression plate system: two case reports. J. orthop. Trauma, 19: 487-90, 2005. Go to original source... Go to PubMed...
    24. SOMMER, C., BABST, R., MULLER, M., HANSON, B.: Locking compression plate loosening and plate breakage: a report of four cases. J. orthop. Trauma, 18: 571-7, 2004. Go to original source... Go to PubMed...
    25. SOMMER, C., GAUTIER, E., MULLER, M., HELFET, D. L., WAGNER, M.: First clinical results of the Locking Compression Plate (LCP). Injury, 34 Suppl. 2: B43-54, 2003. Go to original source... Go to PubMed...
    26. STAUBLI, A. E., De SIMONI, C., BABST, R., LOBENHOFFER, P.: TomoFix: a new LCP-concept for open wedge osteotomy of the medial proximal tibia-early results in 92 cases. Injury, 34 Suppl. 2: B55-62, 2003. Go to original source... Go to PubMed...
    27. STOFFEL, K., DIETER, U., STACHOWIAK, G., GACHTER, A., KUSTER, M. S.: Biomechanical testing of the LCP-how can stability in locked internal fixators be controlled? Injury, 34 Suppl. 2: B11-9, 2003. Go to original source... Go to PubMed...
    28. TREASE, C., McIFF, T., TOBY, E. B.: Locking versus nonlocking T-plates for dorsal and volar fixation of dorsally comminuted distal radius fractures: a biomechanical study. J. Hand Surg., 30-A: 756-63, 2005. Go to original source... Go to PubMed...
    29. WAGNER, M.: General principles for the clinical use of the LCP. Injury, 34 Suppl. 2: B31-42, 2003. Go to original source... Go to PubMed...

    Return to the content