The Dynamic Compression Plate Dcp

General Aspects of the Dynamics Compression Plate (DCP).- General Notes on Internal Fixation.- The Aim of Internal Fixation.- Mechanical Basis of Internal Fixation.- Biomechanical Basis of Internal Fixation.- Biology of Bone Healing under Rigid Immobilization.- Comments on Radiological Follow-Up of Internally Fixed Fractures.- Problems Associated with Compression Plates Available Hitherto.- 1. Circularly Fitting Screw Holes.- a) Unpredictable Load Changes.- b) Lack of Versatility.- c) Friction between Screw Head and Screw Hole after Plate Bending.- 2. Built-In Tension Devices.- a) Metallurgical Hazards.- b) Lack of Versatility.- c) Friction between Screw Head and Screw Hole after Plate Bending.- 3. Removable Tension Devices.- a) Advantages.- b) Drawbacks.- The Concept of Dynamic Compression Plates (ASIF-DCP).- The Construction of the Dynamic Compression Plate.- Screw Hole and Spherical Gliding Principle.- Design of the Screw Head.- Drill Guide.- Mode of Action.- Application of the Dynamic Compression Plate.- General Considerations.- DCP as a Conventional Internal Fixation Plate.- Drill Guide.- Mode of Action.- Application of the Dynamic Compression Plate.- General Considerations.- DCP as a Conventional Internal Fixation Plate.- DCP as a Conventional Compression Plate with Removable Tension Device.- DCP as a Self-Compressing Plate.- DCP as a Buttress Plate.- Practical Examples.- Short Fractures with Direct Contact between the Main Fragments.- 1. Use of the DCP with the Removable Tension Device.- 2. Use of the DCP as a Self-Compressing Plate.- Torsion or Bending Fractures with Butterfly Fragment.- Comminuted Fractures.- Fractures at Two or More Levels.- Forearm Fractures.- Acetabular Fractures of the Pelvis.- Concluding remarks.- 113.- 124.