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
Related Articles
- EP ID EP605594
- DOI -
- Views 76
- Downloads 0
Need for the Research Cultures
One of the major hurdles for scientific research in India is lack of Research culture specially in medical field and in field of orthopaedic surgery. In countries that have good research output, the universities and inst...
Isolated Volar Dislocation of Distal Radio-ulnar Joint: A Case Report
Introduction: Any dislocation of distal radio-ulnar joint is a rare injury especially when it is not associated with any fractures. A detailed history, careful physical examination, proper radiographic imaging along with...
Role of Vacuum-assisted Closure Therapy in Management of Acute Musculoskeletal Trauma
Background: Open fractures and concomitant so tissue defects have always been a major challenge in orthopedic surgery. Negative pressure wound therapy has recently been used in the field of orthopedics for the management...
A Retrospective Cohort Study of a Multimodal Anesthesia and Analgesia Technique for Patients Undergoing Surgery for Repair of Complex Elbow Fractures
In the face of the opioid crisis, pressure to reduce health costs, and prevention of complications, a multimodal analgesic approach that includes regional anesthetics has become increasingly useful. ere are relatively fe...
Indexing of Journal of Bone and Joint Diseases
Dear Colleagues, Indexing of a journal is of prime importance since the recognition by the medical council of India depends on publication in an Indexed journal. The Journal of Bone and Joint Diseases is one of the oldes...