VA LCP Two-Column Plate-Extra Long
Douglas Campbell, Thomas Fischer
Cases 1 and 2 provided by Max Daniel Kauther and Marcel Dudda, Essen, Germany
Case 1: Multifragmentary distal radius fracture with extension into the diaphysis
A 26-year-old man suffered a multifragmentary fracture of his left distal radius with extension into the diaphysis (AO23 C3.3) (Fig 2). The VA LCP Extra Long Two-Column plate was used for fixation (Fig 3). After initial immobilization, the plate provided a good postoperative fixation of the fracture.
The fracture showed primary bone healing without callus formation. At the 3-month follow-up, the patient was full weight bearing with excellent clinical function (Fig 4). The radiological follow-up can be technically challenging due to the correct focus of the central ray.
Fig 2 Preoperative images. 
Fig 3 Images at the 3-month postoperative follow-up. 
Fig 4 Good clinical function at the 3-month postoperative follow-up. Case 2: Open radius shaft fracture
A 59-year-old farmer suffered a crush injury with an open forearm fracture (AO22 C2, Gustilo and Anderson IIIB) (Fig 5). Initial stabilization was carried out by external fixator (Fig 6). After four rounds of debridement and capillary ingrowth of a splitting skin graft at day 17, the VA LCP Extra Long Two-Column plate was used for fixation of the radius. A 2.7 mm LCP Condylar Plate was used for fixation of the ulna. The plates provided good stability for a functional after-treatment.
At the 3-month follow-up, the patient was full weight bearing with healing fractures (Fig 7).
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