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 Evaluation of Outcome of ORIF by DCP Vs LCP in Mid-Shaft Fractures of Radius – Ulna in A Secondary Level Hospital of Bangladesh

2020 ◽  
Vol 11 (2) ◽  
pp. 106-109
Author(s):  
Md Asjadur Rahman ◽  
Md Shahidullah Kaiser ◽  
SM Syeed Ul Alam
Keyword(s):  
Motor Vehicle ◽  
Dynamic Compression ◽  
Shaft Fracture ◽  
Statistical Point ◽  
Plate Group ◽  
Group I ◽  
Significant Difference ◽  
Compression Plate ◽  
Group Ii ◽  
Mean Time

Purpose: To compare the result of mid-shaft fracture radius and ulna treated by small DCP and LCP. Methods: Prospective interventional study, done in the Department of Orthopaedic Surgery, 250 Bedded General Hospital, Tangail from January, 2017 to December, 2018. The study was carried out with sample size 30 patients of mid-shaft fracture of radius and ulna. Out of them 15 were treated by DCP and screws and 15 patients were treated by LCP and screws. Results: In this study mean age in group I was 32.63±9.42 and in group II was 37.54+7.12. Male patients were 17 and female were 13 in number. Motor vehicle accident was the commonest cause of fracture found in 60% in group-I and 73.33% in group-II. In group-I, out of 15 cases all cases (100%) united with mean time of 15.87 ± 3.89 weeks. In group-II, out of 15 cases all (100%) cases united with the mean time of 14.0 ± 2.27 weeks. There was no major complication in both groups. Regarding the final outcome, excellent results in group-I were achieved with 11 (73.33%) cases while in group-II with 12 (80.00%) cases. Satisfactory results were seen in 04 (26.67%) cases in group-I and 03 (20.00%) cases in group-II. Conclusion: On the statistical point of view there was no significant difference between dynamic compression plate group and locking compression plate group for the treatment of mid-shaft fracture radius and ulna. J Shaheed Suhrawardy Med Coll, December 2019, Vol.11(2); 106-109

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

Outcome of Repair of Distal Radial and Ulnar Fractures in Dogs Weighing 4 kg or Less Using a 1.5-mm Locking Adaption Plate or 2.0-mm Limited Contact Dynamic Compression Plate

2017 ◽  
Vol 30 (06) ◽  
pp. 444-452
Author(s):  
Thomas Nelson ◽  
Adam Strom
Keyword(s):  
Dynamic Compression ◽  
Major Complication ◽  
Distal Segment ◽  
Dynamic Compression Plate ◽  
Pull Out ◽  
Plate Group ◽  
Plate Fracture ◽  
Compression Plate ◽  
Ulnar Fracture ◽  
Excellent Functional Outcome

Abstract Objectives Retrospective evaluation of repairing distal radial and ulnar fractures in small breed dogs with the Synthes 1.5-mm locking Adaption plate system and compare results in a similar group of patients repaired with the Synthes 2.0-mm limited contact-dynamic compression plate (LC-DCP). Methods Electronic medical records from one specialty referral centre were reviewed from March 21, 2010, to October 9, 2015, for patients weighing less than or equal to 4 kg that had a distal one-third radial and ulnar fracture repaired with a Synthes 1.5-mm locking adaption plate or Synthes 2.0-mm LC-DCP. Further inclusion criteria included application of the plate to the cranial surface of the radius via open reduction and internal fixation. Results Six 1.5-mm Adaption plates and 7 2.0-mm LC-DCPs were used to repair 13 distal radial and ulnar fractures in 12 dogs. There were three major complications in the 1.5-mm adaption plate group (one plate fracture, one screw pull-out and one fracture through a distal screw hole) and one major complication in the 2.0-mm LC-DCP group due to a re-fracture. All patients without a complication had good or excellent functional outcome. Clinical Significance The authors recommend that the 1.5-mm Adaption plate be used only when a 2.0-mm LC-DCP would not allow for a minimum of two screws in the distal segment and at the discretion of the surgeon.

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

scholarly journals Dynamic Compression Plate Versus Intramedullary Interlocking Nail for Managemaent of Humeral Shaft Fractures

2014 ◽  
Vol 3 (2) ◽  
pp. 10-13
Author(s):  
Pashupati Chaudhary ◽  
Navin Kumar Karn ◽  
Bikram Prasad Shrestha ◽  
Guru Prasad Khanal ◽  
Shivraj Paneru ◽  
...  
Keyword(s):  
Blood Loss ◽  
Dynamic Compression ◽  
Operating Time ◽  
Humeral Shaft ◽  
Dash Score ◽  
Interlocking Nail ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures ◽  
Plate Group ◽  
Compression Plating

Introduction: With the dramatic success of intramedullary fixation for fractures of the femur and tibia, there was speculation that Intramedullary Interlocking Nails might be more appropriate for humeral shaft fractures in comparison to Dynamic Compression Plates. There are very few studies comparing these two methods of fixation in shaft of humerus fractures and virtually no study in this part of world. The aim of the study was to compare these fixation methods 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 randamised control trial in which all patients with fractures of shaft of humerus that met the criteria for operative interventions ( intramedullary interlocking nailing and dynamic compression plating) presenting to the department of Orthopaedics BPKIHS during the study period and giving informed consent were included in the study. The patients were randomized using Excel random number generation technique into two groups. N Group: Cases treated with intramedullary interlocking nail and P Group: Cases treated with dynamic compression plate. Results: Most of the patients were right handed. The operating time for nailing was 100±11.24 minutess in comparision to 90.25± 15.6 minutes for humerus plating. The mean blood loss in nail group was 148.75 ±36.70 while in plate group blood loss was 205±45.60. Post operative hospital stay was similar in both groups with mean stay of 4.5 days.The peroperative radial nerve palsy was 4% in nailing group as compared to 2% in plating group. Radiologically four cortices union was only 50% in nailing group while it was 80% in plating group at 24 weeks post operatively. Dash score gradually improved in both nail and plate group but Dash score was significantly higher in plating group at 6,12,18 and 24 weeks follow up. Conclusion: Dynamic compression plating is better for fracture shaft of humerus. Plate osteosynthesis remains the gold standard of fixation for humeral shaft fractures. DOI: http://dx.doi.org/10.3126/noaj.v3i2.9513 NOAJ July-December 2013, Vol 3, Issue 2, 10-13

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