Research Article| Volume 26, SUPPLEMENT 2, B28-B36, 1995

Radiological sequences of healing in internal plates and splints of different contact surface to bone. (DCP, LC-DCP and PC-Fix)

      This paper is only available as a PDF. To read, Please Download here.


      For several years our attention has been directed towards the damage to the blood supply brought about by implant contact. The disturbance of the blood supply results in necrosis and consequent remodelling which then results in early temporary porosis and potentially in bone sequestration. Reduced resistance to local infection may follow. Locally delayed remodelling may give rise to stress concentrations and thus increase the danger of refracture. With this in mind a new approach to periosteal splinting has been developed which realizes minimal implant contact to preserve the blood supply to the bone. In order to elucidate the sequence of events in healing, time-lapse cinematography has been used to facilitate the comparison of conventional and new plates and internal splints. Fractures of the sheep tibia were recorded radiologically at short intervals Samples of these radiographs are displayed for comparison. The healing process after application of an internal fixator (PC-Fix) results in earlier solid union and a more homogeneous bone structure.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Münch T.W.
        Zeitrafferradiologische Darstellung einer Frakturheilung unter stabilen Verhaltnissen. Inaug..
        in: 4th Ed. Dissertation University of Basle. 1988
        • Remiger A.R.
        • Predieri M.
        • Tepic S.
        • et al.
        Internal fixation using the point contact plate — an in vivo study in sheep.
        Orthop. Trans. 1994; 18 ([Abstract]): 13-14
        • Perren S.M.
        The concept of biological plating using the limited contact — dynamic compression plate (LC-DCP).
        Injury. 1991; 22
        • Perren S.M.
        • Russenberger M.
        • Steinemann S.
        • Müller M.E.
        • Allgöwer M.
        A dynamic compression plate.
        Acta Orthop. Scand. Suppl. 1969; 125: 31-41
      1. Tepic S, Remiger AR, Morikawa K, Predieri M, Perren SM. Strength recovery in fractured sheep tibia treated with a plate or an internal fixator: An experimental study with a two year follow-up. J. Orthop. Trauma (in press).