ANALYSIS OF LOCKED COMPRESSION PLATING IN OSTEOPOROTIC FRACTURESPROSPECTIVE STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 35
Abstract
BACKGROUND Fractures in osteoporotic bones pose challenges to the treating orthopedists due to the complex problems in fixation of osteoporotic bones.1,2,3,4 Failure of treatment usually results due to less bone purchase, implant failure and insufficient callus formation. The locking compression plate (LCP) was devised by combining the features of an LC-DCP (Limited ContactDynamic Compression Plate and a PC-Fix (Point Contact Fixator). Thus, LCP gives a better solution to this complex situation of management of osteoporotic fractures.5,2,3,4 The aim of the study is to analyse the functional outcome of locked compression plate fixation in osteoporotic fractures of both upper and lower limbs.6,2,3,4 MATERIALS AND METHODS The study was conducted in Govt. Medical College, Kottayam, Kerala over a period of seven years from 2006 to 2013. The study included 480 osteoporotic fractures whose BMD was assessed in pelvic X-rays based on Singh’s index and internal fixation was either by open method or by minimally invasive method using LCP.7 The study included 380 male patients and 100 female patients who had osteoporotic bones due to various causes. The ages of the patients varied from 48 years to 74 years (mean age was 61 years), of which 288 patients (60%) were from 40 to 60 years of age and 192 patients (40%) were 60 years or more. Average duration of healing, complications and its rate, post-operative rehabilitation time all were assessed. RESULTS We have high union rates in our series of 480 pts with osteoporotic fractures, but not without complications; the complications were- 1) Superficial infection in 32 cases (6.66 %); 2) Deep infection 24 cases (5%); 3) Delayed union 14 cases (2.91%); 4) Malunion in 12 cases (2.5%) amounting to a total of 82 cases accounting for (17%) in total.1 CONCLUSION Fixation of fractures using LCP has proved to be an efficient treatment alternative in osteoporotic fractures with excellent union rates.6,2,3,4 Complications though present are nevertheless not significantly higher than the existing implants like DCP LC-DCP etc. Moreover, superficial infection is a negligible complication as it can be adequately simply managed.
Authors and Affiliations
Santhosh Kumar M. N
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- EP ID EP571294
- DOI 10.18410/jebmh/2018/530
- Views 59
- Downloads 0
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