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Table 1 Comparison of Reports of Plate External Fixation

From: LCP external fixation - External application of an internal fixator: two cases and a review of the literature

Author

Year of Publication

Number of Patients

Indications for Plate External Fixation

Bones involved

Implant type

Temporary or Definitive

Average Duration on LCP external fixation

Infection (%)

Nonunion (%)

Kloen [4]

2009

4

Infected nonunion

1 clavicle, 3 tibia

3.5 or 4.5 mm LCP

3 temporary, 1 definitive

4 months (2 - 6)

0

0

Apivatthakakul and Savanpanich [5]

2007

1

Bone transport*

Tibia

4.5 mm broad LCP

Definitive

5 months†

0

0

Kerkhoffs et al [2]

2003

31

9 open fractures, 18 infected nonunion, 3 septic arthritis‡, 1 infected pathological fracture

12 forearm, 2 clavicle, 4 humerus, 6 tibia, 4 elbow, 1 olecranon, 1 femur, 1 shoulder

DCP with nuts and washers

Definitive

12 weeks (2 - 23)

2/23 (9) §

4/31 (1)

Ramotowski and Granowski [3]

1991

1212

850 fractures

191 femur, 493 tibia, 45 humerus, 64 radius, 52 ulna, 5 others||

Zespol system

Definitive

18 weeks

NM

44/850 (5)**

   

445 nonunions

106 femur, 245 tibia, 40 humerus, 22 radius, 31 ulna, 1 other||

 

Definitive

21 weeks

1 (4) ¶

27/445 (6) ¶

Marti and van der Werken [1]

1991

12

4 open fractures, 7 infected nonunion, 1 septic arthritis

7 forearm, 1 clavicle, 1 humerus, 2 tibia, 1 shoulder

DCP with nuts and washers

Definitive

NM

2/12 (17) **

2/12 (17) **

  1. LCP, locking compression plate; DCP, dynamic compression plate; NM, not mentioned
  2. * Together with Wagner limb lengthening device
  3. † On LCP external fixator alone, after removal of Wagner device
  4. ‡ Plate external fixation for arthrodesis in septic arthritis (2 elbow, 1 shoulder).
  5. §Persistent infection in 2 cases of septic arthritis.
  6. || Only on tibia and ulna bones were Zespol applied externally, for a total of 545 tibia and ulna fractures, and 276 tibia and ulna nonunions.
  7. ¶Including cases treated with paraosseous and subcutaneous Zespol application.
  8. ** Infected nonunion (1 clavicle, 1 humerus).