Dynamic Compression Plate (DCP)- Correct Operative Technique

[@vjrapanwad]

A year of reading on one side and a 20 minutes of video on an another side !! Thank u sir :-)

[@DrVinayKumarSingh]

Thank you Vijay.

[@jeetpandey9906]

Dear Dr. Vinay, My name is Dharmjeet Pandey and I passed out from NIMS in year 2015 from then I am in orthopedic segment, I have taken so many lectures regarding Trauma reduction but I learned something different in your video I have seen that you can bring theories in real life so crisp clear that even if a beginner is watching your video he can understand it very well. Your way of demonstration is totally different than other surgeons, You demonstrate each and everything so well from very beginning till end. Thanks a lot for making things so easier and bringing theories to real life with so ease. Best of luck for future, Would like to meet you once I will be there.

[@DrVinayKumarSingh]

Thank you Jeet for your lovely comments. Happy to know you are a NIMS passout. It would be honour to meet you some day.

[@prashantpradhan33]

Excellent video sir. I had to read so many books and still could understand this concept only while finishing the residency. You have made it so easy to understand quickly. Great service to the learners.

[@DrVinayKumarSingh]

Thank you

[@DrVinayKumarSingh]

Sure. Thank you.

[@abdulhakeem....628]

I am GP and I find this as amazing illustration for the DCP application .

[@DrVinayKumarSingh]

Thank you

[@Zorbosh_0]

Dear Sir, today we conducted a hands on work shop for pgs from our zone.We first played your video on dcp fixation and lag screw fixation followed by hands on. They were all thrilled and learnt very well. No words to thank you Sir.🙏

[@DrVinayKumarSingh]

Thank you Venkatesh🙏

[@moonstone1651]

Excellent sir..i always watch your video before doing a procedure..u r our real teacher..thanks for sharing your knowledge..

[@DrVinayKumarSingh]

Thank you

[@Quismo12]

May God reward you for your good deeds for us students.

[@DrVinayKumarSingh]

Thank you Manas

[@JesnaFawaz]

An excellent demonstration, Sir! So clear and precise explanation did'nt find it in many Orthopedic books. Thank you so much.

[@DrVinayKumarSingh]

Thank you. Kindly subscribe and share our channel.

[@nouraiz1990]

Great sir. Legendary method to describe the correct technique. Even AO havent tell this so accurately.

[@DrVinayKumarSingh]

Thank you

[@forathassan2727]

Nice and new tricks for me about DCP appliance, thank you sir and God bless you.

[@DrVinayKumarSingh]

Thank you

[@adigopplaavinash4229]

I'm out of words to describe your efforts sir, thanks a lot sir...

[@DrVinayKumarSingh]

Thanks Raj. Kindly subscribe and share our channel.

[@ravitejareddy666]

Thank you Sir, cleared the concept and how to use the eccentric screw guide..

[@DrVinayKumarSingh]

Thank you Raviteja. Please subscribe and share our channel so that it can benefit more people.

[@drrbkushwaha]

Outstanding demonstration of correct placement of DCP. I am a Veterinary orthopedic surgeon and learning a lot from your channel. Sir, kindly tell me in 10 hole DCP, how many centeric and eccenteric screws we have to place for maximum result.

[@DrVinayKumarSingh]

Procedure is same irrespective of number of holes.

[@drrbkushwaha]

@@DrVinayKumarSinghthank you sir

[@kisosonkoleFaruk]

very useful especially for the beginners

[@DrVinayKumarSingh]

Glad you think so!

[@MrUmar62750]

Very Nice Video Sir........Your Method of teaching is very easy & Good.

[@DrVinayKumarSingh]

Thank you

[@oluwadayomagbagbeola5545]

Great demonstration and good explanation of the principles of application. Thank you and God bless.

[@DrVinayKumarSingh]

My pleasure

[@ibrahimmohammed5917]

Thank you sir. More blessings for you for making things easy for us

[@DrVinayKumarSingh]

Thank you

[@dhaval7111986]

Great explanation of very basic but imp things.... Great as always.

[@DrVinayKumarSingh]

Thanks Dhaval.

[@drwakili536]

excellent video. Thank you for wonderful demostration

[@DrVinayKumarSingh]

Thank you

[@dr.naveenkumar7281]

Your video is really help full sir

[@DrVinayKumarSingh]

Thank you Naveen

[@Seyoumberihun]

Very precise. You are an excellent surgeon and teacher. Thank you

[@DrVinayKumarSingh]

Thank you

[@Seyoumberihun]

The Region I was working is a war zone. I was almost killed but thank God I survived.

[@Rjak4u]

Crystal clear explanation sir. Sir Keep uploading such videos of all kind of surgeries. Thanx

[@DrVinayKumarSingh]

Thank you for your kind words

[@dimosthenismandilas6893]

THANK YOU SIR, VERY HELPFUL VIDEO FOR US YOUNG ORTHOPAEDIC SURGEONS

[@DrVinayKumarSingh]

My pleasure

[@jaiminvashi5633]

sir, excellant presentation, i think u r d best teacher i hav ever known, i wud request u to make vdo for some of new approaches like postmed approaches for tibial platue fractures

[@DrVinayKumarSingh]

Thank you Jamin.

[@drsaichandraofficial]

Hi sir... great video...I m following your videos from many days...u r doing great job......how to contact you

[@DrVinayKumarSingh]

Thank you

[@amitsinha483]

Sir my heartiest thanks to you !!! Simply wonderful !

[@DrVinayKumarSingh]

Thank you Amit. Kindly subscribe and share this channel.

[@Nour_Alfaouri]

Which screw should be used first, the closest to the fracture site or the distal from it? Dose it make any difference?

[@DrVinayKumarSingh]

No

[@muhammadkarim7358]

Thanks Sir, Sir please tell us details about centric and acentric screws.

[@DrVinayKumarSingh]

It's there

[@dileepreddy9284]

Hello sir I have a doubt In oblique or spiral fractures..is centric screw should be placed in proximal fragment and ecentric screw in distal fragment? I didn't understand the angle part sir

[@DrVinayKumarSingh]

Centric screw should be put on the side of obtuse angle so that it forms an axilla so that fracture can get reduced without sliding.

[@dileepreddy9284]

Understood sir...thank u very much sir

[@DrVinayKumarSingh]

Great. That's good. Kindly subscribe to our free educational channel.

[@dr.sureshbabu7278]

Sir very nice explanation.thank u

[@DrVinayKumarSingh]

My pleasure

[@keplar560]

Nice demonstration

[@DrVinayKumarSingh]

Thank you Ashok

[@اسلامتيسير-غ8ل]

Plz for video showing overbending of the plate to compress the far cortex

[@DrVinayKumarSingh]

Ok

[@DrVinayKumarSingh]

Ok

[@francisdominicoliveros1005]

Very helpful video sir. Thank you

[@DrVinayKumarSingh]

My pleasure

[@meditationandrelaxingvideo1040]

Mind blowing concepts

[@DrVinayKumarSingh]

Thank you Farrukh

[@ragulajay7197]

Great demonstration sir. Thanks a lot

[@DrVinayKumarSingh]

Thank you. Please subscribe and share our channel.

[@deepakvishwakarma4682]

Good informetion sir

[@DrVinayKumarSingh]

Good afternoon

[@sandeepnavada6402]

Sir we r taught n read for transverse fracture one should use pre bent plate n proceed as u mentioned 🤔🤔🙏

[@DrVinayKumarSingh]

Yes that's correct. Prebending is good

[@syedsaddam3769]

thanks alot sir.......made my day......please keep continuing such educational videos....

[@DrVinayKumarSingh]

Thank you Syed. Kindly subscribe to our channel and share it.

[@dr.lutfarrahman4413]

Excellent sir.pls give some tickcs about reduction of spiral fracture and fixation

[@DrVinayKumarSingh]

Ok

[@adarshvenugopal8981]

Awesome video …pls make some videos on bridge plating principles and anti glide principles ….

[@DrVinayKumarSingh]

Thank you Adarsh

[@بدرالحربي-ب9ط]

Dr You are a Living legend

[@DrVinayKumarSingh]

❤️

[@nabilahmed4444]

Thank you very much sir. Can you please do a lecture on basics of plate, screws and nail. Different sizes and all

[@DrVinayKumarSingh]

Nabil i will try.

[@arifhossain-ox2sk]

Excellent video

[@DrVinayKumarSingh]

Thank you very much!

[@gifordmomanyi9321]

Nice presentation

[@DrVinayKumarSingh]

Thanks a lot

[@nareshchodha7283]

Good demonstration but I want to add one thing if you don't mind if we bend plate at fracture site then fracture will not open posteriorly .and putting screw without bending plate is going to open fracture on opposite sides

[@DrVinayKumarSingh]

I have mentioned your point in the video. Kindly see the full video. Thank you for your valuable input.

[@sitaramkumhar8912]

Meri life ke best doctor ho aap

[@DrVinayKumarSingh]

Thank you

[@gopalyadav-dt7ff]

Excellent sir. Thanks so much for your effort in teaching us 🙏🙏🙏🙏🙏🙏🙏

[@DrVinayKumarSingh]

Thank you

[@arunlal3879]

Very clearly explained sir. . .hats off. . .i wish I could work with you and learn a lot. . .looking forward to more sir. .

[@DrVinayKumarSingh]

Thank you. Kindly subscribe to our channel.

[@ashishchopra210787]

Great explanation of principles of fracture fixation .. thank you sir 🙏

[@DrVinayKumarSingh]

Thank you

[@amareshprahallad1186]

Excellent video sir! Should the central screw be completely tightened or partially tightened before applying the eccentric screw?

[@DrVinayKumarSingh]

Fully right

[@sajanjerome7295]

You should have prebend the plate a little before plating.Thats why there was a little opening on the opposite cortex when the eccentric screw was applied. Thanks for the wonderful video.

[@DrVinayKumarSingh]

Yes you could

[@drlalitnakarani]

sir i have watched your each and ever videos ...thank you so much sir you made many thing so simple

[@DrVinayKumarSingh]

Thank you

[@cavidilyaszade134]

Thanks Sir, for your useful and educational videos

[@DrVinayKumarSingh]

Thank you

[@abdiladifabdiali8077]

Excellent Sir

[@DrVinayKumarSingh]

Keep watching

[@khaungsoe7000]

Thank you so much, sir. May I know plate placement areas on radius, ulna and humerus. E.g..volar or radial border on radius bone.

[@DrVinayKumarSingh]

Please see respective videos.

[@gifordmomanyi9321]

Please sir, Make more videos on sets for different procedures

[@DrVinayKumarSingh]

Ok

[@ahmedyahia2521]

Could you present a tutorial on direct and indirect reduction techniques

[@DrVinayKumarSingh]

Thanks Ahmed. Will try to make a video.

[@rajneeshsinghal1501]

SIr what is the idea behind pre bend DCP

[@DrVinayKumarSingh]

To have good compression on the other side

[@paidikarthik4977]

Thank you sir for the basics

[@DrVinayKumarSingh]

Thank you. Please subscribe to our channel.

[@vipinyadav-vi9lr]

How to differentiate between locking and cortical drill bit

[@DrVinayKumarSingh]

The locking or non-locking cortical drill bit look very similar the only difference is the different diameter.

[@Orthopaedic_Surgeon]

Great tutorial. Keep it up.

[@DrVinayKumarSingh]

Thank you Rikesh

[@SnehaTheGreat-s2x]

Really helpful sir

[@DrVinayKumarSingh]

Thank you

[@studentslibrary...knowledg526]

Sir, Is there any way to remunerate apart from subscribing. Ur services to orthopaedics are outstanding.

[@DrVinayKumarSingh]

Iwant channel to reach wider audience so that it can benifit more people. If you can share it to correct groups then that will be my remuneration 🙏

[@jemalgirma2938]

Dear sir. Nice demo. I just want to ask tht on AO manual book its shown tht the first two screws on each side of fracture should be placed on eccentric position but u demonstrated tht one of the screw should be centeric. Can u pls clarify this point. Regards.

[@DrVinayKumarSingh]

Jamal, there are variations in technique. if at all you place your first screw in eccentric mode and the other side is not fixed the plate will slide and it will become centric anyways. So if you want to place your first screw centric or eccentric with the other side not fixed, it doesn't really matter because it will act as a centric screw only.

[@jemalgirma2938]

@@DrVinayKumarSingh Thanks alot sir for quick reply.

[@drrvk]

Read ao manual once again

[@as-ec2oo]

Hi Dr. Singh, Thank you very much for your videos they are very useful. Can you tell me if this is correct, with regards to Limited contact DCP and conventional DCP are the differences just that the LP- DCP has of course limited contact with the bone and can still be used in compression mode but has a different type of hole to the DCP and therefore requires a different drill bit guide but still achieves the same results. Is that correct? Many thanks

[@as-ec2oo]

Also if so why do they have different holes to each other. When looking at the LP DCP I cant see the need for it to have a different hole to the DCP. Thanks

[@DrVinayKumarSingh]

I would request you to refer AO manual as this is a diverse topic.

[@amritpalsingh9261]

great video sir , please make videos on trochanteric osteotomy for THR and acetabular fracture fixation

[@DrVinayKumarSingh]

Thank you Amrit. Kindly kindly share and subscribe to our channel.

[@abdulrhmansharif9150]

Thank you so much for the excellent demonstration. God bless you. Keep the good work.

[@DrVinayKumarSingh]

My pleasure. Please subscribe to our channel.

[@ujwalhs8886]

Sir, maximum how much of compression can be achieved using eccentric screws???

[@DrVinayKumarSingh]

This is meant for fractures were we can achieve anatomical reduction.

[@masudbillah1526]

I am from Bangladesh and my question after operation a patient how many times to full recovery,,, dcp operation??

[@DrVinayKumarSingh]

Depends on site of injury and severity

[@deepakmehta2877]

Very good evening sir , u r an excellent teacher sir 🙂. I have a bit doubt sir . Kindly clarify. (In between 7 min to 8 min )As you said its the plate which moves(in opposite direction from the fracture) while we tighten the eccentric screw . But I feel its the screw and bone unit which moves towards fracture site for achieving compression. Pls guide sir

[@DrVinayKumarSingh]

Directions can be confusing

[@calintodor]

Thank you DR VINAY,very nice and logic your demonstration.👏👏

[@DrVinayKumarSingh]

My pleasure. Please subscribe to our free educational channel.

[@anthonymitchell9880]

Excellent video, thank you

[@DrVinayKumarSingh]

My pleasure Anthony

[@nileshcharel]

excellent sir

[@DrVinayKumarSingh]

Thankyou Nilesh

[@shahgvikas6833]

Sir plate lagane ke kitne din bad hath normally hota h jis layak ham computer keyboard use kar sake normally

[@DrVinayKumarSingh]

Computer key board to operation ke turant bad use kar sakte hain.

[@nareshchodha7283]

Sir if prebent plate then first screw to be used is near fracture or away from fracture.please explain.little bit confused?

[@DrVinayKumarSingh]

It doesn't matter.

[@Fitness-AMF]

Hello Dr.this tube that you use.what is this?

[@DrVinayKumarSingh]

It's used by plumber for water connection

[@ayush28]

really amazing sir...thank you so much for the effort you put in sir

[@DrVinayKumarSingh]

Thanks Karan. Please subscribe and share our channel so that it can reach wider audience.

[@mohammadumar193]

sir i have a 7 hole titanium dcp in my radius how much does it cost

[@DrVinayKumarSingh]

I do know the price

[@mohammadumar193]

@@DrVinayKumarSingh ?? sir ihad my surgery last month when can i ride a bike again?

[@RajendraKumar-is4kc]

Nice concept sir👍

[@DrVinayKumarSingh]

Thank you Rajendra. Kindly subscribe and share our channel.

[@RajendraKumar-is4kc]

@@DrVinayKumarSingh sir I have already subscribed your channel and My request to you that kindly upload more conceptual and informative orthopaedic videos in future.i shall be highly thankful to you sir..

[@DrVinayKumarSingh]

@@RajendraKumar-is4kc sure

[@arjunkouloth127]

Very informative 👍👍

[@arjunkouloth127]

Thanku for the effort sir☺️☺️

[@DrVinayKumarSingh]

@@arjunkouloth127 thank you so much. Kindly share and subscribe to our channel.

[@GeethaVijayan-f4s]

Sir how excentric screw is compressing

[@DrVinayKumarSingh]

Read basic AO principles

[@vishakhgangadharan9958]

Simplified sir thank u so much. need a class on acetabulum fracture fixation.

[@DrVinayKumarSingh]

Thank you. Kindly share this channel.

[@francismaduekwe6627]

I have a 70 year old male with a 2-yr old non united distal third fracture of the femur. How do I employ a locking compression plate to allow for early ambulation

[@DrVinayKumarSingh]

Kindly share X-rays

[@drkshitijagrawal1417]

Very nice video, this clear my concepts!! As a question, I want to ask when we use dcp and when we use lcp plates. Can we use this centric and eccentric screws in lcp plates and is there is any indication for using dcp in place of lc-dcp.

[@DrVinayKumarSingh]

This principles apply for all plates. I will hopefully soon upload video of different plates soon.

[@drkshitijagrawal1417]

@@DrVinayKumarSingh thanks , waiting for next video

[@DrVinayKumarSingh]

@@drkshitijagrawal1417 sure

[@MrVishal955]

Superb demonstration Sir ..one doubt sir cant we get compression if we use both screws eccentrically?

[@DrVinayKumarSingh]

Yes as shown in the demonstration. However you first screw has to be centric screw.

[@jyostnakonudula5892]

Sir kindly upload radius plating by Thompson approach

[@DrVinayKumarSingh]

As soon as possible

[@mustafalkhalil3554]

Great video sir. Explanarion is very simple, Thanks sir. 🌹🌹💐🌺

[@DrVinayKumarSingh]

Thank you Mustafal. Please subscribe to our channel and share it.

[@dr.anubhavsinghms7854]

Sir how to prebend the plates?

[@DrVinayKumarSingh]

Will show in some video

[@sora9bhgarg745]

Sir kindly make a video for distal femur plating as well

[@DrVinayKumarSingh]

We will do that

[@sora9bhgarg745]

@@DrVinayKumarSingh sir i like your videos and keep them watching often for good revision. Thumbs up for your so much good work. Would definitely want to work in future under your guidance if possible. Thank you so much sir

[@makanmir1000]

Thank you so much . Love your work. Great Videos. Keep going. Greets from Germany. Stay healthy!!!

[@DrVinayKumarSingh]

Thanks Makan. Kindly subscribe and share our free educational channel.

[@dr.sureshbabu7278]

Sir can you also make video on Dinamization concept of IMN and when to do it.

[@DrVinayKumarSingh]

Let me see.

[@drmubashir]

Thanks alot sir. U have cleared my concepts. ❤️

[@DrVinayKumarSingh]

Thank you for Farhan

[@neerajverma1211]

Sir it ws really a very nice video....sir plz make a video on bending of plates.

[@DrVinayKumarSingh]

Thank you. Please don't forget to subscribe.

[@소금맛새우-i3w]

Very nice educational demonstration ! Thanks for your work. By the way, do you use the prebending always ?

[@DrVinayKumarSingh]

Not always but you should do it.

[@sunilmahajanortho]

Excellent demo of plating principles Sir!!! Query: Using depth guaze, outer measuring sleeve should be touched only on plate surface OR bottom of hole? About size of measured screw, what mm's should be added considering head thickness of screw? How to deal situation many a times in forearm fractures we don't get any hold of measured screw 3.5 in far cortex? Also, many a times u reduce FX with reduction forceps and they keep on coming on the way of plate Placement on it tensile surface? Plz clearify these concepts and oblige. Regards

[@DrVinayKumarSingh]

Thanks Sunil. Most of your queries are about screw length. While measuring depth Guage should touch the bone and then it should be measured. If your length is good then you will feel the second cortex and will get a good purchase. While measuring we don't account for head. If you are getting a poor hold the may be many causes. Use of wrong drill, plate not in centre of bone, screw length short or variable thread diameter of Indian screws. If you have got good hold in others and only one screw is loose then you are fine. If most screws have got poor hold then you may have to revise. However if you are using the principles correctly then it should not happen frequently. If you struggling to keep the plate on bone reduce it, decide the plate orientation, secure plate on one side of fracture by putting tow centric screws and then do reduction with plate and fill holes on other side of fracture.

[@sunilmahajanortho]

@@DrVinayKumarSingh thanku so much sir for getting and writing a long reply for me!!! Obliged

[@DrVinayKumarSingh]

@@sunilmahajanortho my pleasure

[@sunilmahajanortho]

Sir, in transverse or oblique fxs...while giving compression...Do we need to make some order of screw placement like ist screw near to fx site always or no sequence matter

[@DrVinayKumarSingh]

Yes order is same.

[@hagerabdelaziz9441]

Doctor ,do you recommend this speciality for females ??

[@DrVinayKumarSingh]

Yes i strongly recommend it

[@hagerabdelaziz9441]

@@DrVinayKumarSingh What are the subspecialities better for females ?

[@yassinefathelkhir3976]

Thank you very much I wish you would share more vidéos Respects

[@DrVinayKumarSingh]

My pleasure

[@MultiRambo008]

Effort is commandable. We'll done....

[@DrVinayKumarSingh]

Thank you.

[@docjay21]

Great efforts u take in making each of ur educational videos......Thanks and keep good work going..... I wish u too make videos of intra articular complex trauma around knee, elbow , ankle.... Thanks in anticipation 🙏

[@DrVinayKumarSingh]

Thank you Ajay. Will try to cover most orthopaedic areas in future. Kindly subscribe and share our channel.