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Open Access Highly Accessed Case report

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

Colin Yi-Loong Woon*, Merng-Koon Wong and Tet-Sen Howe

Author Affiliations

Department of Orthopaedic Surgery, Singapore General Hospital,169608, Singapore

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Journal of Orthopaedic Surgery and Research 2010, 5:19  doi:10.1186/1749-799X-5-19

Published: 20 March 2010


The locking compression plate (LCP) is an angle-stable fixator intended for intracorporeal application. In selected cases, it can be applied externally in an extracorporeal location to function as a monolateral external fixator. We describe one patient with Schatzker V tibial plateau fracture and one patient with Gustillo IIIB open tibia shaft fracture treated initially with traditional external fixation for whom exchange fixation with externally applied LCPs was performed. The first case went on to bony union while the second case required bone grafting for delayed union. Both patients found that the LCP external fixators facilitated mobilization and were more manageable and aesthetically acceptable than traditional bar-Schanz pin fixators.