scholarly journals A comparative study of functional outcome of distal tibial extra-articular fracture fixed with intramedullary interlocking nail versus locking compression plate

2017 ◽  
Vol 3 (2b) ◽  
pp. 80-85
Author(s):  
Dr. Somashekar ◽  
Dr. Ranganath HD ◽  
Dr. Maulik B shah ◽  
Dr. JN Sridhara Murthy ◽  
Dr. Girish S
Keyword(s):  
Comparative Study ◽  
Functional Outcome ◽  
Locking Compression Plate ◽  
Articular Fracture ◽  
Interlocking Nail ◽  
Compression Plate

scholarly journals A prospective comparative study between interlocking nail and locking compression plate for management of diaphyseal fractures of the humerus

2020 ◽  
Vol 6 (5) ◽  
pp. 926
Author(s):  
Mallesh Rathod ◽  
Sandeep Kumar Kanugula ◽  
Pannuri Raja
Keyword(s):  
Comparative Study ◽  
Internal Fixation ◽  
Functional Outcome ◽  
Reoperation Rate ◽  
Locking Compression Plate ◽  
Interlocking Nail ◽  
Operation Rate ◽  
Compression Plate ◽  
Prospective Comparative Study ◽  
Diaphyseal Fractures

<p class="abstract"><strong>Background:</strong> The aim of this study was to compare the outcomes between open reduction and internal fixation by locking compression plate (LCP) and closed reduction and internal fixation with anterograde interlocking nail (ILN) for the treatment of diaphyseal fractures of the humerus.</p><p class="abstract"><strong>Methods:</strong> This is a prospective comparative study, with diaphyseal fractures of the humerus treated by LCP in 30 patients and with ILN in 30 patients. Patients were followed up to 18 months. The clinical and radiographic outcomes were assessed in terms of union, complications, reoperation rate and functional outcome using the American shoulder and elbow surgeons’ score (ASES) and Stewart and Hundley’s criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> Union was achieved in 93.3% of patients in LCP group and 90% in ILN group. The mean blood loss in LCP group was 280±22.10 ml (160-400 ml) and in ILN group was 110±17.62 ml (70-150 ml) (p=0.001). The ASES score was 42.47±5.532 in LCP group and 40.93±6.330 in nailing group (p=0.320; p&gt;0.05). Stewart Hundley criteria showed excellent and good results in 26/30 and 17/30 patients in LCP group and ILN group respectively (p=0.070; p&gt;0.05). Complications and re-operation rate were higher in ILN group.</p><p class="abstract"><strong>Conclusions:</strong> Our study concludes that LCP can be considered a better surgical option for the management of diaphyseal fractures of the humerus as it had lower incidence of complications, less re-operation rate and better union rate. However, there is no difference between the two groups in terms of union time and functional outcome.</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.

scholarly journals Functional outcome of calcaneal locking compression plate

2018 ◽  
Vol 4 (3) ◽  
pp. 493
Author(s):  
George Thomas ◽  
Jinny John
Keyword(s):  
Functional Outcome ◽  
Plantar Flexion ◽  
Lateral Approach ◽  
Lateral View ◽  
Locking Compression Plate ◽  
X Rays ◽  
Calcaneal Fractures ◽  
Compression Plate ◽  
American Orthopaedic ◽  
Böhler’S Angle

<p class="abstract"><strong>Background:</strong> The calcaneus is the frequently injured tarsal bone.75% of calcaneal fractures are intraarticular. Treating calcaneal fractures is a challenge for orthopaedic surgeon due to complex fracture pathology. Our aim is to evaluate the functional outcome of calcaneum Locking compression plate in patients with intraarticular calcaneal fractures with Bohler’s angle &lt;20 degree who are admitted in the department of Orthopaedics, Government Medical College, Kottayam.</p><p><strong>Methods:</strong> In this study, 41 patients with 42 intraarticular calcaneal fractures were operated on with locking compression plate through lateral approach during the period of July 2015 to December 2016. Radiological evaluation done with X-rays. Bohler’s angle was measured from lateral view and those patients with angle &lt;20<sup>0</sup> were selected for study. Patients were followed up clinically and radiologically for 24 weeks. Radiological assessment was done by Bohlers angle. Functional outcome was assessed using American Orthopaedic Foot and Ankle Society (AOFAS) scale.<strong></strong></p><p class="abstract"><strong>Results:</strong> At 24 weeks follow up, 90.5% of the study population had excellent to good functional outcome and 9.5% had fair and none had poor result. All patients had stable hind foot with all having good dorsiflexion and plantar flexion. But some patients had limited inversion and eversion. The mean postoperative Bohler’s angle was 30.02±3.97.</p><p class="abstract"><strong>Conclusions:</strong> Open reduction and internal fixation with locking compression plate gives sound functional outcome, if the surgery is well timed. Anatomical articular reduction especially of the posterior facet to be achieved and restoration of Bohler’s angle to normal range to be attempted.</p>

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

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