scholarly journals Role of locking compression plate in management of metaphyseal fractures in osteoporotic bones: an experimental study from rural Maharashtra

2019 ◽  
Vol 5 (3) ◽  
pp. 388 ◽  
Author(s):  
Prasanna Rathi ◽  
Kiran P. Paknikar ◽  
Shekhar P. Malve ◽  
Govind S. Kulkarni ◽  
Milind G. Kulkarni ◽  
...  
Keyword(s):  
Distal Femur ◽  
Constant Score ◽  
Locking Compression Plate ◽  
Age Group ◽  
Femur Fractures ◽  
Compression Plate ◽  
The Mean ◽  
One Year ◽  
Metaphyseal Fractures

<p class="abstract"><strong>Background:</strong> Osteoporosis is multi factorial disease, which is caused by complex interaction between genetic and environmental factors that influence bone turnover, bone mass, skeletal geometry and risk factors. Distal femur fracture needs aggressive management in terms of open reduction and internal fixation with locking compression plate and early mobilization. Objectives were<strong> </strong>to study the role of locking compression plate in the management of osteoporotic metaphyseal fractures.</p><p class="abstract"><strong>Methods:</strong> Present study is a prospective study comprising of 50 patients who sustained various fractures in different bones of body due to osteoporosis and were treated using locking compression plate (LCP). All patients were evaluated for effectiveness of LCP.<strong></strong></p><p class="abstract"><strong>Results:</strong> In present series majority of patients (44%) fall in age group of 61-70 years having senile osteoporosis, followed by 12 (24%) from 51-60 years age group. Majority of the cases involved were distal femur fractures (50%). 15 i.e. 30% cases were fracture of proximal tibia and 20% were fracture of proximal humerus. 96% had osteoporosis. C1 type of fracture was commonly seen in 6 (12%) patients. The mean constant score at one month was 58 and at the end of one year it was 80. The mean oxford score at one month was 28 and at the end of one year it was 38.</p><p class="abstract"><strong>Conclusions:</strong> Locking compression plate is an ideal implant for fixation in metaphyseal osteoporotic bones when used methodically.</p>

scholarly journals Results of Surgical Management of Highly Unstable Complex Distal Femur Fractures with Distal Femoral Locking Compression Plate Fixation: A Prospective Study of 58 Cases

2020 ◽  
pp. 11-16
Author(s):  
Dr. Rajesh Kumar Sharma ◽  
Dr. Rajesh Goel
Keyword(s):  
Prospective Study ◽  
Distal Femur ◽  
Plate Fixation ◽  
Lateral Approach ◽  
Locking Compression Plate ◽  
Femur Fractures ◽  
Institutional Ethics ◽  
Compression Plate ◽  
One Year ◽  
A Prospective Study

Background: The optimal treatment of complex distal femur fractures always remains 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 or complex distal femurfractures and to determine the influencing factors of an unfavorable outcome. Methods: After obtaining approval from the institutional ethics committee, 58 patients with complex distal femur were managed by open reduction and internal fixation with DF-LCP through lateral approach and as per standard protocol. The follow-up results were analyzed clinically and radiologically, using the “ Schatzker and Lambert criteria” at once in a month for the first three months, once in three months upto one year and once in six months after that up to two years.

scholarly journals Management of distal femur fractures with locking compression plate: a prospective study

2018 ◽  
Vol 4 (2) ◽  
pp. 208
Author(s):  
Sridhar Reddy Konuganti ◽  
Sreenath Rao Jakinapally ◽  
Vennamaneni Pratish Rao ◽  
Sivaprasad Rapur
Keyword(s):  
Prospective Study ◽  
Distal Femur ◽  
Femoral Fractures ◽  
Locking Compression Plate ◽  
Functional Score ◽  
Non Union ◽  
Distal Femoral Fractures ◽  
Femur Fractures ◽  
Compression Plate ◽  
The Mean

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Distal femur fractures need to be treated operatively to achieve optimal outcomes. Different types of internal fixation devices have been used but, the number of revisions for non-union, loss of reduction and implant failure has been high.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This prospective study reviewed 20 cases of distal femoral fractures surgically managed with distal femoral locking compression plate between December 2013 and December 2015 at Mediciti Institute of medical sciences, Ghanpur, Medchal, tertiary care referral and trauma centre. Fractures were categorized according to OTA classification by Muller</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Highest number of patients was in their 3rd decade (25%) 18 out of 20 patients had closed injury. Type A2 Muller’s fracture was the most common fracture type 7 out of 20 patients (35%).The mean follow up period in this study was 8 months. The average range of knee flexion achieved was about 109°. The mean score 81.75 points were rated using Neer’s functional score (Max 100). </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">The locking compression plate is the treatment of choice in the management of comminuted distal femoral fractures especially Type A fractures where we have found higher Neer scores. It may not completely solve the age-old problems associated with any fracture like non-union and malunion, but is valuable in the management of these fractures.</span></p><p class="Default"> </p>

scholarly journals FUNCTIONAL OUTCOME OF PROXIMAL HUMERUS FRACTURES TREATED WITH OPEN REDUCTION AND INTERNAL FIXATION WITH A LOCKING COMPRESSION PLATE: A CROSS SECTIONAL STUDY

2021 ◽  
Vol 10 (4) ◽  
pp. 3266-3269
Author(s):  
Abhishek Patil
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Proximal Humerus ◽  
Constant Score ◽  
Locking Compression Plate ◽  
Proximal Humerus Fractures ◽  
Compression Plate ◽  
Humerus Fractures ◽  
The Mean

Proximal humerus fractures account for about 4% to 5% of all fractures. Following distal forearm fracture, proximal humeral fracture is the second most common upper extremity fracture. Kirschner (K)-Wires, external fixation, tension band wiring, and rush pins, intramedullary nails, ORIF with plates, and shoulder hemiarthroplasty have all been offered as therapeutic options. The purpose of this study was to assess the functional outcome and complication rates following internal fixation of proximal humerus fractures using a locking compression plate. Patients over the age of 18 with closed proximal humerus fractures or open proximal humerus fractures (Gustilo and Anderson type I, Type II) received open reduction and internal fixation with locking compression plate in the current study. The participants in this study were 60 people who had a proximal humerus fracture and were treated with open reduction and a proximal humerus locking compression plate. Patients ranged in age from 20 to 85 years old, with a mean age of 51.14 +/- 17.30 years. The age group 36–55 years (37 percent) was the most prevalent, followed by 56–75 years (30 %). The majority of patients (76.7 %) were men who had been in automobile accidents on the right side (83 %) (63 %). According to the Neer classification, the most prevalent type of fracture was a three-part fracture (53 %). The maximum union time observed in this study was 16 weeks, with a minimum of 10 weeks. The average time to union is 12.52 +/- 1.14 weeks. The mean flexion at the end of six months was 121.660 +/- 19.84. The mean internal rotation was 57.330 +/- 8.48, the mean external rotation was 530 +/- 11.98, and the mean abduction was 1180 +/- 19.36. 75.28 +/- 9.66 [Mean +/- SD] is the Mean Constant score. Pain 14.10, ADL 18.26, range of motion 22.46, and power 20 were the mean scores observed on Constant Score for its various aspects. According to the Constant score, the functional outcome of the 60 patients was as follows: 8 patients had excellent outcomes (13%), 34 patients had good outcomes (56.7%), 16 patients had moderate outcomes (26.7%), and two patients had poor outcomes (26.7%) and (3 %). Internal fixation of proximal humerus fractures with a locking compression plate results in anatomical reduction and secure fixation, resulting in a favorable functional outcome.

Treatment of Distal Femur Fractures With the DePuy-Synthes Variable Angle Locking Compression Plate

2019 ◽  
Vol 33 (9) ◽  
pp. 432-437 ◽  
Author(s):  
Tyler C. McDonald ◽  
Joella J. Lambert ◽  
R. Miles Hulick ◽  
Matthew L. Graves ◽  
George V. Russell ◽  
...  
Keyword(s):  
Distal Femur ◽  
Locking Compression Plate ◽  
Femur Fractures ◽  
Variable Angle ◽  
Compression Plate

scholarly journals Internal Fixation of Proximal Humerus Fracture with Polyaxial Angular Stable Locking Compression Plate in Patients Older Than 65 Years

2012 ◽  
Vol 15 (1) ◽  
pp. 25-31 ◽  
Author(s):  
Ki Won Lee ◽  
Young Joon Choi ◽  
Hyung Sun Ahn ◽  
Chung Hwan Kim ◽  
Jae Kwang Hwang ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Constant Score ◽  
Locking Compression Plate ◽  
Humerus Fracture ◽  
Vas Score ◽  
Compression Plate ◽  
The Mean

PURPOSE: The clinical and radiographic outcomes of the internal fixation, which were executed on patients over the age of 65 with proximal humerus fracture by using a polyaxial angular stable locking compression plate (Non-Contact-Bridging proximal humerus plate, Zimmer, Switzerland, NCB), were evaluated.MATERIALS AND METHODS: Thirty two patients over the age of 65 among the proximal humerus fracture treated with NCB plate, between August 2007 and January 2011, were chosen as the subjects. The average age of patients was 71 years, and the average postoperative follow-up period was 11.5 months. The fractures included 14 two-part and 18 three-part fractures. The clinical results were evaluated, using the visual analog scale (VAS) score and the Constant score. The radiological results were evaluated by time to union and Paavolainen method, which measures the neck shaft angle.RESULTS: At the last follow-up examination, the mean VAS score was 3 points and the mean Constant score was 64.5 points, with bone union achieved after the average of 16.2 weeks following the surgery in all the cases. The mean neck shaft angle was 125.9 and 24 cases had good results, while 8 cases had fair results by Paavolainen method, at the last follow-up. There were 1 case of delayed union and cerclage wire failure, and 3 cases of subacromial impingement. There were no complications, such as loss of reduction, nonunion, screw loosening, or avascular necrosis of the humeral head.CONCLUSION: Internal fixation, using a NCB plate, was considered to be an effective surgical method in treating proximal humerus fracture in the elderly patients, on whom the fixation of the fracture and maintenance of reduction are difficult.

scholarly journals Clinical and functional outcomes of surgical management of distal femur fractures using distal femur locking compression plate

2017 ◽  
Vol 3 (2f) ◽  
pp. 576-582 ◽  
Author(s):  
Dr. Jay Dhariwal ◽  
Dr. Ashok Kumar ◽  
Dr. Anurag Chhabra ◽  
Dr. Sunil Yadav ◽  
Dr. Mayank Dutta ◽  
...  
Keyword(s):  
Surgical Management ◽  
Functional Outcomes ◽  
Distal Femur ◽  
Locking Compression Plate ◽  
Femur Fractures ◽  
Compression Plate

scholarly journals A comparative study between proximal femur locking compression plate and dynamic hip screw fixation in management of intertrochantric femur fractures

2016 ◽  
Vol 2 (4) ◽  
pp. 327
Author(s):  
Mithlesh Kumar Meena ◽  
Vinay Joshi
Keyword(s):  
Locking Plate ◽  
Locking Compression Plate ◽  
Dynamic Hip Screw ◽  
Intertrochanteric Fractures ◽  
Trochanteric Fractures ◽  
Superficial Infection ◽  
Femur Fractures ◽  
Compression Plate ◽  
Hip Screw ◽  
The Mean

<p class="abstract"><strong>Background:</strong> Proximal femur fractures are one of the commonest fracture encountered in orthopaedic trauma practice. Dynamic hip screw (DHS) is the gold standard procedure for treatment for stable intertrochanteric  fractures, however problem arises with unstable fractures in maintenance of neck shaft angle and proper reduction. Here we are giving results of trochanteric fractures treated with proximal femoral locking compression plate (PFLCP) as compared with dynamic hip screw (DHS).</p><p class="abstract"><strong>Methods:</strong> This study was a prospective study. Two groups of trochanteric fractures of 25 patients operated with DHS and LCP were taken. Each patient was followed-up from July 2011 to October 2012 for minimum of 12 month or till the bony union.<strong> </strong>Every fracture was classified according to AO classification. Functional results will be assessed as per modified Harris hip evaluation score.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 25 patient treated with PFLCP, length discrepancy was .857 cm while that for DHS was 1.2 cm. The mean time of unaided walking with LCP Was 14.20 weeks while for DHS it was 16.20 weeks. The mean varus angulation for LCP 8 degree while for DHS 10.2 degree. In LCP in 1 case screw cut out from head and neck of femur while in DHS, same is seen in 2 cases and in addition loss of position of lag screw seen in 5 cases.one case was found with superficial infection in LCP while in case of DHS 3 cases with deep infection for that implant was removed and 6 cases were found with superficial infection.</p><p><strong>Conclusions:</strong> Proximal femoral locking plate (PFLCP) is simple, stable for fixation with fewer complications, and is an effective method for unstable intertrochanteric fractures.  Comparing with DHS group, the locking plate has shorter operative time, fewer blood loss and drainage.</p>

scholarly journals Assessment of efficacy of locking compression plate in distal femur fractures

2021 ◽  
Author(s):  
Faizal Ali A. A. ◽  
Govind Karunakaran ◽  
Hijas Hameed
Keyword(s):  
Functional Outcome ◽  
Distal Femur ◽  
Oxford Knee Score ◽  
Locking Compression Plate ◽  
Knee Score ◽  
Medial Condyle ◽  
Excellent Outcome ◽  
Femur Fractures ◽  
Articular Fractures ◽  
Compression Plate

Background: Distal femur fractures account for an estimated 6% of all femur fractures. Our study aims at evaluating the functional and radiological outcome in distal femur fractures treated with locking compression plate (DF-LCP).Methods: Patients undergoing LCP were assessed postoperatively both functionally and radiologically. Oxford Knee Score was used to assess the functional outcome. With a maximum score of 48, a score of more than 41 is scaled as excellent, 34 to 40 as good functional status, 27 to 33 as fair and score less than 27 as poor functional result.Results: Extra-articular fractures were the commonest (66.7%) type of fractures [simple-6.7%; metaphyseal wedge-20%; metaphyseal complex-40%] followed by complete articular fractures (26.7%) [Simple articular metaphyseal comminution-16.7%; metaphyseal and intra-articular comminution-10%] and partial articular fractures (6.7%) [Medial condyle-3.3%; coronal plane-3.3%]. Most of them had right sided femur injury (66.7%) and had history of fall (70%). Radiologically, 90% exhibited no complications and had united appropriately. Functionally the mean oxford knee score was 41.53±1.69 which ranged from a score of 38 to a maximum of 44. Highest proportion i.e., 63.3% had excellent outcome followed by good functional outcome and none showed fair or poor outcomes.Conclusions: LCP has shown very good radiological and functional outcomes with hundred percent union of the distal femur fractures. Hence it can be used successfully in distal femur fractures.

Sign in / Sign up

Export Citation Format

Share Document