scholarly journals Results of Surgical treatment of Nonunion of Humeral Shaft Fracture with Dynamic Compression Plate and Cancellous Bone Grafting

2020 ◽  
Vol 7 (2) ◽  
Author(s):  
Ajaz Ahmad Bhat ◽  
Suhail Wani ◽  
Javed Ahmad Nabir
Keyword(s):  
Surgical Treatment ◽  
Cancellous Bone ◽  
Bone Grafting ◽  
Dynamic Compression ◽  
Shaft Fracture ◽  
Humeral Shaft Fracture ◽  
Humeral Shaft ◽  
Cancellous Bone Grafting ◽  
Dynamic Compression Plate ◽  
Compression Plate

scholarly journals Diaphyseal Humeral Fractures Treated by Bracing versus Dynamic Compression Plate

2021 ◽  
Vol 15 (6) ◽  
pp. 1466-1468
Author(s):  
B. Kumar ◽  
A. Kumar ◽  
L. D. Mheshwari ◽  
Z. H. Tunio ◽  
R. A. Jhatiyal ◽  
...  
Keyword(s):  
Dynamic Compression ◽  
Shaft Fracture ◽  
Humeral Shaft ◽  
Psychiatric Disease ◽  
Dash Score ◽  
Dynamic Compression Plate ◽  
Conservative Group ◽  
Plate Group ◽  
Compression Plate ◽  
Mean Time

Objective: To compare the results of humerus shaft fractures treated by functional bracing and dynamic compression plate. Study Design: Cross sectional comparative study. Place and Duration of Study: Department of Orthopaedic Surgery & Traumatology, Liaquat University Hospital Hyderabad/Jamshoro from 1st June 2015 to 31st May 2016. Methodology: Eighty cases selected from accident emergency department and outpatient departments. Cases were divided in two groups; group A (dynamic compression plate) and group B (functional bracing). Patients of either gender with age range 18-50 years with an isolated closed fracture of the humeral shaft, of duration within 2 weeks and who were willing to participate in the study were included in the study while open fractures, bilateral injuries, poly-trauma, pathological fracture, smoker, alcoholic, immune compromised, and history of poor compliance, psychiatric disease were excluded. Results: In conservative group, 32 (80%) were males and 8 (20%) females while in dynamic compression plate group, 30 (75 %) were males and 10 (25%) females with mean age was 35.75±9.083 year. There were 46 (57.5%) patients who sustained fractures following road traffic accidents 16 (20%) cases had fall from height and 18 (22.5 %) cases had after assault. Fracture location was middle third in most of cases in both groups. Mean time for union was 15.45±2.864 and 14.325±3.033 weeks and mean time of follow-up was 48.35±6.436 & 42.52±9.33 weeks in dynamic compression plate and functional bracing groups respectively Conclusion: Plating of humeral shaft fracture was found to be satisfactory method of treatment with high fracture union rates, better functional outcome [DASH Score] and low complication rate as compared to functional bracing group. Keywords: Humeus shaft, Fracture, Dynamic compression plate, DASH score, Conservative, Functional bracing

scholarly journals Randomized controlled trial comparing dynamic compression plate versus intramedullary interlocking nail for management of humeral shaft fractures

1970 ◽  
Vol 9 (2) ◽  
pp. 61-66 ◽  
Author(s):  
P Chaudhary ◽  
NK Karn ◽  
BP Shrestha ◽  
GP Khanal ◽  
R Rijal ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Blood Loss ◽  
Functional Outcome ◽  
Dynamic Compression ◽  
Operating Time ◽  
Humeral Shaft ◽  
Dynamic Compression Plate ◽  
Interlocking Nail ◽  
Humeral Shaft Fractures ◽  
Compression Plate

Background: The optimal method of humeral shaft fracture fixation remains debatable. With the dramatic success of intramedullary fixation for fractures of the femur and tibia, there was speculation that IM-ILN might be more appropriate for humeral shaft fractures than DCP. Objectives: To compare the fixation of fracture shaft of humerus with interlocking nail and dynamic compression plate in terms of duration of operating time, amount of blood loss, rate of infection, pain at the fracture site, time to achieve union, functional outcome (DASH score) and complications of surgery. Methods: This was randomised control trial study. All patients with fractures of shaft of humerus that met the criteria for operative interventions presenting to the Department of Orthopaedics, BPKIHS in the study period and giving informed consent were included in the study. Sample size was taken 30 in each group. Results: The usual mode of injury in both the groups were road traffiic accident followed by fall from height, work place injury. The operating time for nailing was 100 mins with standard deviation of 11.24 while that of humerus plating was 90.25 with standard deviation 15.6.The mean blood loss in nail group was 148.75 with standard deviation of 36.70 while that in plate group was 205.00 with standard deviation of 45.60. Post operative hospital stay was similar in both groups with mean stay of 4.5 days. DASH was significantly higher in plating group at 6,12,18 and 24 weeks follow up. This showed better functional outcome in nailing group. Conclusion: Dynamic compression plating is better than interlocking nail for fracture shaft of humerus. Keywords: shaft of humerus; interlocking nail; plate fixation DOI: http://dx.doi.org/10.3126/hren.v9i2.4974 Health Renaissance 2011: Vol.9 (No.2): 61-66

scholarly journals Pre-bending a dynamic compression plate significantly alters strain distribution near the fracture plane in the mid-shaft femur

2020 ◽  
Vol 234 (5) ◽  
pp. 478-485
Author(s):  
Jacob Ristow ◽  
Matthew Mead ◽  
Minal Cordeiro ◽  
James Ostrander ◽  
Theresa Atkinson ◽  
...  
Keyword(s):  
Convex Surface ◽  
Dynamic Compression ◽  
Shaft Fracture ◽  
Fracture Site ◽  
Fracture Plane ◽  
Osteotomy Site ◽  
Uniform Compression ◽  
Anterior Cortex ◽  
Dynamic Compression Plate ◽  
Compression Plate

This study evaluated the effect of pre-bending dynamic compression plates on fracture site compression. Recommendations of 1 to 2 mm of pre-bend have been proposed, but there does not appear to be experimental data to confirm the optimal pre-bend magnitude. Dynamic compression plating was performed on the lateral convex surface of 18 femoral analogs to fixate a simulated mid-shaft fracture. Plates with 0 mm (flat plate), 1 mm, and 2 mm of pre-bend were evaluated for their production of compression by determining the strain magnitudes for 10 equal-sized zones across the anterior cortex at the osteotomy site using digital imaging correlation. The 0 and 1 mm plates produced significantly more compression at the near cortex (p = 0.001 and p = 0.003, respectively) than the 2 mm plate. However, the 0 and 1 mm plates also created visible diastasis at the far cortex, while the 2 mm plate exhibited compression across all zones. The strain magnitudes for the 0 mm (R2 = 0.62) and 1 mm (R2 = 0.86) plates linearly and significantly decreased from the region adjacent to the plate until a region 50%–60% across the analog diameter. In contrast, the 2 mm plate exhibited uniform strains across the osteotomy site. This study demonstrates that pre-bending a dynamic compression plate 2 mm prior to fixation on a convex lateral femur provides the most compression at the far cortex. It also produces more uniform compression across the fracture when compared to 0 and 1 mm of pre-bend.

OS3-24 Intramedullary nail vs dynamic compression plate in treating humeral shaft fractures

Injury ◽  
2016 ◽  
Vol 47 ◽  
pp. S10
Author(s):  
C. Bardas ◽  
H. Benea ◽  
D. Oltean ◽  
M. Paiusan ◽  
R. Tomoaia ◽  
...  
Keyword(s):  
Intramedullary Nail ◽  
Dynamic Compression ◽  
Humeral Shaft ◽  
Dynamic Compression Plate ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures ◽  
Compression Plate

Surgical Treatment of an Aneurysmal Bone Cyst in a Dog

1995 ◽  
Vol 08 (04) ◽  
pp. 213-217 ◽  
Author(s):  
J. N. Chambers ◽  
S. M. Newell ◽  
J. M. Duval
Keyword(s):  
Surgical Treatment ◽  
Cancellous Bone ◽  
Aneurysmal Bone Cyst ◽  
Bone Grafting ◽  
Bone Cyst ◽  
Distal Tibia ◽  
Bone Cysts ◽  
Cancellous Bone Grafting ◽  
Lytic Lesions ◽  
Aneurysmal Bone Cysts

Aneurysmal bone cysts are benign but locally aggressive lytic lesions of bone. Surgical curettage and cancellous bone grafting resulted in complete clinical and partial radiographic resolution of an aneurysmal bone cyst of the distal tibia.

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