Role of Locked Compression Plate in Osteoporotic Humeral Shaft Nonunions: A Clinical Study
Journal Title: Journal of Bone and Joint Diseases - Year 2017, Vol 0, Issue 0
Abstract
Background: Osteoporotic humeral shaft nonunion is a challenge to modern implant design because of inadequate screw purchase in the bone. Locked compression plating (LCP) is the answer to this difficult condition. In this prospective study, we have tried to evaluate the role of LCP in management of osteoporotic humeral shaft nonunion in patients above 18 years of age. Materials and Methods: We treated 14 such cases with mean age of 48 years. Open reduction and fixation with LCP along with cancellous bone grafting were done, and the cases were evaluated clinically and radiologically till union. Results: All the fracture went on to the satisfactory union after an average of 21 weeks (14-32 weeks). Two patients had delayed union and required bone marrow injections. All the patients after union were able to perform their pre-injury work. Pain and limitation of motion improved remarkably. Conclusion: LCP is a very effective procedure to achieve union in osteoporotic humeral shaft fractures in adult patients. We propose fixation with LCP as it provides additional stability at fracture site, led to high rate of union, with few complications.
Authors and Affiliations
Javed Jameel, Sandeep Kumar, Rizwan Khan, Shishir Rastogi
Keywords
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