Comparative Study Of Fixation Of Humeral Shaft Fractures By Low Contact Dynamic Compression Plate Versus Locking Compression Plate
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 1
Abstract
Background:Humeral shaft fracture is a major cause of severe morbidity in patients with upper extremity injuries. Aims:To compare the results of treatment of humeral shaft fractures with low contact dynamic compression plate (Group A) and locking compression plates (Group B). Study design: Prospective study Materials and methods: This prospective study was carried out from 2010 to 2014. The study was conducted on 120 patients with humeral shaft fractures who were assigned to two different treatment protocol, low contact dynamic compression plate (60 patients) or locking compression plate (60 patients). Functional assessment was done as per system of American Shoulder and Elbow Surgeons shoulder score as adopted by McCormack et al. All patients were followed for twelve months. Results: The mean time to fracture union was 14.2 ± 4.8 weeks (range 10–40 weeks) in group A and 12.8 ± 3 weeks (range 12–36 weeks) in group B. There was insignificant difference in the range of motion between the two groups. Five patients (8.33 %) in group A and four patients (6.66 %) in group B had superficial infections. Conclusion:This study proves that locking compression plate can be considered a better surgical option for the management of diaphyseal fractures of the humerus as it offers a short union time and lower incidence of serious complications like infection. However, there appears to be no difference between the two groups in terms of the rate of union and functional outcome.
Authors and Affiliations
Ramji Lal Sahu
Keywords
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