scholarly journals Operative Treatment with Locking Compression Plate (LCP) in Proximal Humerus Fracture

2008 ◽  
Vol 11 (2) ◽  
pp. 137-142 ◽  
Author(s):  
Sung-Sik Ha ◽  
Jae-Young Kim ◽  
Ki-Do Hong ◽  
Jae-Chun Sim ◽  
Jung-Ho Kang ◽  
...  
Keyword(s):  
Operative Treatment ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Locking Compression Plate ◽  
Humerus Fracture ◽  
Compression Plate

scholarly journals Management of Proximal Humerus Fracture by Using Proximal Humerus Locking Compression Plate

2019 ◽  
Vol 6 (43) ◽  
pp. 2798-2802
Author(s):  
Mohan Babu Lebaku ◽  
Madhava Reddy Indla ◽  
Venugopal S. M ◽  
Deepak Deepak ◽  
Rajesh G.
Keyword(s):  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Locking Compression Plate ◽  
Humerus Fracture ◽  
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 Assessment of Functional and Radiological Outcome in Patients of Proximal Humerus Fractures Managed by Proximal Humerus Locking Compression Plate - A Longitudinal Observational Study from Moradabad, Uttar Pradesh

2021 ◽  
Vol 8 (19) ◽  
pp. 1403-1408
Author(s):  
Amit Saraf ◽  
Ashish Maurya ◽  
Ajay Pant
Keyword(s):  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Locking Compression Plate ◽  
Humerus Fracture ◽  
Proximal Humerus Fractures ◽  
Radiological Outcome ◽  
X Ray ◽  
Longitudinal Observational Study ◽  
Compression Plate ◽  
Humerus Fractures

BACKGROUND The proximal humerus fractures are mostly undisplaced fractures. Various complications which were encountered with the closed treatment included: subacromial impingement, malunion, shoulder pain, avascular necrosis, stiffness secondary to osteoarthritis and the rotator cuff deficiency. In order to overcome these complications, trend has shifted towards surgical management. The present study was conducted to assess the functional and radiological outcome in patients with proximal humerus fracture managed by proximal humerus locking compression plate. METHODS This was a longitudinal observational study (combination of retrospective and prospective design) conducted in the Department of Orthopaedics in Teerthanker Mahaveer Medical College and Research Centre, Moradabad. All patients with proximal humerus fractures under Neer’s classification who fulfilled our inclusion criteria were included. The radiological assessment was done by union, complication or any failure on x-ray and functional outcome was assessed by University of California at Los Angeles (UCLA) score. Surgery was performed under general/brachial anaesthesia in beach chair position. Delto-pectoral approach was used. Injectable antibiotics (3 rd generation cephalosporin) and analgesic (paracetamol/tramadol) were given for 3 days after surgery. Post op. X- ray of shoulder with arm antero-posterior and lateral view were taken on 2nd day of surgery RESULTS A total of 34 patients were included in the study who were followed up for a minimum of one year. At the end of the follow up, 25 patients showed union except for 3 non-union, 1 delayed union, 2 valgus and 2 varus deformity, 2 avascular necrosis (AVN) and 2 infections. The functional outcomes were excellent in 5 patients, good in 14 patients, fair in 9 patients and poor in 6 patients. CONCLUSIONS Proximal humerus locking compression plate is a safe and effective procedure for the management of proximal humerus fracture for young as well as older age group individuals with good functional outcome. The complications are acceptable and can occur in any hospital with any experienced surgeon. KEYWORDS Proximal Humerus, Fracture, Compression Plate

scholarly journals Nordic Innovative Trials to Evaluate osteoPorotic Fractures (NITEP) Collaboration: The Nordic DeltaCon Trial protocol—non-operative treatment versus reversed total shoulder arthroplasty in patients 65 years of age and older with a displaced proximal humerus fracture: a prospective, randomised controlled trial

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e024916 ◽  
Author(s):  
Antti P Launonen ◽  
Tore Fjalestad ◽  
Minna K Laitinen ◽  
Tuomas Lähdeoja ◽  
Carl Ekholm ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Operative Treatment ◽  
Shoulder Arthroplasty ◽  
Large Scale ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Controlled Trial ◽  
Total Shoulder Arthroplasty ◽  
Humerus Fracture ◽  
Randomised Controlled

IntroductionThe proximal humerus fracture (PHF) is one of the most common fractures in the elderly. The majority of PHFs are treated non-operatively, while 15%–33% of patients undergo surgical treatment. Recent randomised controlled trial (RCT) and meta-analyses have shown that there is no difference in outcome between non-operative treatment and locking plate or hemi-arthroplasty. During the past decade, reverse total shoulder arthroplasty (RTSA) has gained popularity in the treatment of PHF, although there is a lack of RCTs comparing RTSA to non-operative treatment.MethodsThis is a prospective, single-blinded, randomised, controlled, multicentre and multinational trial comparing RTSA with non-operative treatment in displaced proximal humeral fractures in patients 65–85 years. The primary outcome in this study is QuickDASH-score measured at 2 years. Secondary outcomes include visual analogue scale for pain, grip strength, Oxford shoulder score, Constant score and the number of reoperations and complications.The hypothesis of the trial is that operative treatment with RTSA produces better outcome after 2 and 5 years measured with QuickDASH.Ethics and disseminationIn this protocol, we describe the design, method and management of the Nordic DeltaCon trial. The ethical approval for the trial has been given by the Regional Committee for Medical and Health Research Ethics, Norway. There have been several examples in orthopaedics of innovations that result in failure after medium-term follow-ups . In order to prevent such failures and to increase our knowledge of RSTA, we feel a large-scale study of the effects of the surgery on the outcome that focuses on the complications and reoperations is warranted. After the trial 2-year follow-up, the results will be disseminated in a major orthopaedic publication.Trial registration numberNCT03531463; Pre-Results.

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