Treatment of non-union of humerus diaphyseal fractures: a prospective study comparing interlocking nail and locking compression plate

2014 ◽  
Vol 134 (7) ◽  
pp. 947-953 ◽  
Author(s):  
Ashutosh Kumar Singh ◽  
G. R. Arun ◽  
Nidhi Narsaria ◽  
Anurag Srivastava
Keyword(s):  
Prospective Study ◽  
Locking Compression Plate ◽  
Non Union ◽  
Interlocking Nail ◽  
Compression Plate ◽  
Diaphyseal Fractures ◽  
A Prospective Study

scholarly journals A prospective study on surgical fixation of complex supracondylar femur fracture with distal femoral locking compression plate: our experiences at a tertiary care centre

2020 ◽  
Vol 6 (5) ◽  
pp. 1057
Author(s):  
Rajesh Kumar Sharma ◽  
Anuradha Upadhyay ◽  
Rahul Parmar
Keyword(s):  
Prospective Study ◽  
Tertiary Care ◽  
Clinical Results ◽  
Lateral Approach ◽  
Locking Compression Plate ◽  
Tertiary Care Centre ◽  
Non Union ◽  
Femur Fractures ◽  
Compression Plate ◽  
Supracondylar Femur Fractures

<p class="Default"><strong>Background: </strong>The optimal treatment of complex supracondylar femur fractures remains always challenging and controversial. the purpose of this prospective study was to evaluate the efficacy of distal femoral locking compression plate (DF-LCP) in terms of functional outcome and union rate for highly unstable complex supracondylar femur fractures and to determine the influencing factors of an unfavourable outcome.</p><p><strong>Methods:</strong> After obtaining approval from institutional ethics committee, 45 patients with complex supracondylar femur fractures were managed by open reduction and internal fixation with DF-LCP through lateral approach and as per standard protocol. The follow-up results were analysed clinically and radiologically, using the “Schatzker and Lambert criteria” at once in a month for first three months, once in three months up to one year and once in six months thereafter up to 2 years post-operatively.</p><p><strong>Results:</strong> In the present study, average duration of radiological union was 16 (range 12-22) weeks. The average range of motion of knee joint was 105 degrees. Out of 45 patients, clinical results were excellent in 48.9%, good in 17.8%, fair in 22.2% and poor in 11.1% patients according to Schatzker and Lambert criteria. Knee stiffness (7 cases), secondary arthritis (5 cases), and non-union (4 cases) were the main complications observed in this study, which were treated accordingly.</p><p><strong>Conclusions: </strong>DF-LCP holds the metaphyseal bone strongly and prevents metaphyseal collapse and mal-rotation in complex or highly unstable supracondylar femur fractures and simultaneously, it provides stable fixation to promote fracture union and allows early rehabilitation with acceptable complications.</p>

scholarly journals A prospective study on operative management of displaced fracture of midshaft of clavicle

2017 ◽  
Vol 3 (3) ◽  
pp. 619
Author(s):  
Mohammed Ismail Hathiwale ◽  
Prakash A. Sasnur ◽  
Md. Johorul Islam Tapadar
Keyword(s):  
Plate Fixation ◽  
Operative Management ◽  
Delayed Union ◽  
Locking Compression Plate ◽  
Non Union ◽  
Early Return ◽  
Compression Plate ◽  
Clavicle Fractures ◽  
Displaced Fracture ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Clavicle fractures had been traditionally treated non-operatively which resulted in high rates of non-union. The present study has been undertaken to study the role of precontoured locking compression plate in the fixation of mid-third clavicle fractures.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">We reviewed the results of 25 cases of displaced middle third clavicle fractures (Robinson type 2B) which were treated with open reduction and internal fixation with pre-contoured locking compression plate at Al-Ameen Medical College and Hospital</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Out of 25 patients operated with precontoured LCP, 21 were male and 4 were female patients. One patient had hypertrophic scar, one patient had plate prominence, two patients had delayed union and one patient had implant failure, none of them developed non-union. Constant Murley score was excellent in 19, good in 4 and fair in 1 patient and poor in 1 patient. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Precontoured locking compression plate fixation has better functional outcome, immediate pain relief, early return to function and avoids complications of conservative methods.</span></p>

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