Thanatchaya Ratanarom ,RN. Lerdsin Hospital

Trained - 1991 AO Course for Operating Theatre Nurses - 1995 AO Fellowship at Cologne University Hospital,Cologne Germany - 1999AO Education Seminar for Operating Room Personnel - 2000 AO Advance Course for Operating Room Personnel -2001 AOEA Education Seminar for Operating Room Personnel KL,Malaysia - 2010 AO Trauma Faculty Training for ORP Davos, Switzerland - 2011 AO Trauma Chair- person Education Program - 2012 AO Trauma ORP Mentor Training Davos, Switzerland Professional Experiences - AO National Faculty since 1999 - AO National Faculty Mentor since 2010 -AO Regional Faculty since 2011: Malaysia,Myanmar,Australia ,Hong Kong

LCP Locking Compression Plate

Thanatchaya Ratanarom Lerdsin Hospital

Objectives

The participants should be able to

- Explain the design and usage of the locking

plates and the locking screws

- Explain the benefit of LCP and indications

- Outline the steps of procedure with the

corresponding instruments

Plates—forms: evolution

• Round hole plate 1960 • DCP 1969

• LC DCP 1994 • LCP 2001

Plates—forms: LCP Features of LCP

- Combihole:

• Locking head screws (LHS)

• Conventional screws Standard hole segment

Threaded hole segment

Plates—forms: LCP

Features of LCP

. Combihole:

- Locking head screws (LHS)

- Conventional screws

• Minimal footprint

Standard Plate vs Locking plate

Visible changes

Thread of the head Threaded plate hole

Distance between plate and bone

Increased diameter of the screw

Indications for LCP

Osteoporosis

Short periarticular segment

Periprosthetic fracture

Minimally invasive plating

As an option as external fixator

LPHP Philos Plate

LCP Distal Medial Tibia

4.5LCP Distal femur

4.5LCP Proximal

Tibia

Anatomical Location for LCP

3.5/4.5mm LCP Reconstruction plate

3.5LCP T-plate

3.5 LCP Narrow

3.5LCP L-plate

4.5LCP Broad Plate

4.5LCP T-plate

4.5LCP Proximal femur

LCP Distal medial

humerus

The Technical Solution

Combi hole

Locking head

screws

Dynamic compression

screw

External Fixator / Internal Fixator

Spac

e

Spac

e

Spac

e

Spac

e

Drill Bit 4.3 mm.

Instruments for LCP 4.5/5.0

Laser mark

Plastic ring

Threaded LCP Drill Guide 4.3 mm

Instruments for LCP 4.5/5.0

Torque-Limiting Attachment, 4 Nm

Handle for Quick Coupling

Screwdriver Shaft

4 Nm.

Instruments for LCP 4.5/5.0

Instruments for LCP 4.5/5.0

Neutral position

Universal Drill Guide

- Drill bit 3.2

Instruments for LCP 4.5/5.0

Instruments for LCP 4.5/5.0

• LCP allows combination of two

anchorage concepts into one implant

• Can function as compression plate or

internal fixator or in combination

•Guidelines for use should be

followed to obtain optimal results

Conclusions

Conclusions

• LCP is a type of Internal Fixator

• Three main Indications

Osteoporotic Bone

Short periarticular segments

Periprosthetic fracture

MIPO Technique

For Your Attention

Thank You