Distal 3rd Diaphysial Fracture of Humerus Fixed with Dynamic Compression Plate Using Posterior Approach- The Assessment of the Outcome

2021 ◽  
pp. 82-91
Author(s):  
Syed Zakir Hossain ◽  
Kazi Noor Sitan ◽  
S. M. Rokonuzzaman ◽  
Md. Abu Awal Shameem ◽  
Md. Saiful Islam
Keyword(s):  
Bone Grafting ◽  
Open Reduction ◽  
Nerve Palsy ◽  
Posterior Approach ◽  
Dynamic Compression ◽  
Autogenous Bone ◽  
Radial Nerve Palsy ◽  
Dynamic Compression Plate ◽  
Autogenous Bone Grafting ◽  
Compression Plate

Objectives: The effectiveness of open reduction and Dynamic Compression Plate (DCP) fixation with or without autogenous bone grafting using the posterior midline approach in the treatment of distal third diaphyseal humeral fractures was assessed. Methods: For humeral nonunion, comminuted fractures, or early failure of conservative therapies, 33 patients (24 men, 9 women; mean age 37 years; range 20 to 60 years) were operated on. The study was carried out at Dhaka Medical College Hospital (DMCH), Dhaka from July 2005 to December 2006. Results: After an average of 17 weeks, all of the patients had union (range 14 to 26 weeks).There was no deep infection, nonunion, malunion, implant failure, or nerve injury in any of the patients. In two cases, transient radial nerve palsy occurred. Minor infections were seen in four of the individuals. All of the patients were pain-free after surgery.The functional outcome was outstanding in all instances and good in 16 patients, yielding 87 % satisfying results. Functional outcomes increased considerably postoperatively compared to preoperatively (p<0.001). In 20 individuals, the range of motion of the shoulders was great. The range of motion at the elbow was considerable in 21 patients and moderate in seven others. More than three-quarters of the patients (75.8%) experienced no problems. Four patients (12.1%) were infected, and two patients (6.1%) developed iatrogenic radial nerve palsy as a result of the surgery. One patient (3%) had a loose screw, while another (3%) needed blood transfusions owing to extensive bleeding at the donor graft site. Conclusion: In distal third humeral fractures, open reduction and posterior DCP fixing, with or without autogenous bone grafting, is a safe and effective treatment option, especially when there is no infection or bony or neurovascular damage. Very few study conducted on distal 3rd diaphysial fracture of humerus fixed with DCP using posterior approach, therefore this study conducted to know the assessment of the outcome.

scholarly journals OUTCOME OF THE CLOSED DIAPHYSEAL HUMERAL FRACTURE TREATED WITH DYNAMIC COMPRESSION PLATE

2018 ◽  
Vol 21 (05) ◽  
pp. 1021-1025
Author(s):  
Imran Khan Maher ◽  
Muhammad Ayub Laghari ◽  
Shakeel Ahmed Memon ◽  
Muhammad Saeed Arain
Keyword(s):  
Radial Nerve ◽  
Nerve Palsy ◽  
Dynamic Compression ◽  
Excellent Result ◽  
Humeral Fracture ◽  
University Hospital ◽  
Radial Nerve Palsy ◽  
Female Ratio ◽  
Dynamic Compression Plate ◽  
Compression Plate

Objective: To determine the treatment outcome of the closed diaphyseal humeralfracture treated with dynamic compression plate at Liaquat university hospital Hyderabad.Materials and methods: Total 30 patients having displaced diaphyseal humeral fracture wereincluded in the study. All the patients having fracture of less than 10 days and between the ages15 – 45 years were selected. All the patients selected after counseling and diagnosed as a caseof closed diaphyseal humeral shaft fracture on the basis of clinical examination and X-rays.In this study dynamic compression plates (DCP) were used for stabilization of humeral shaftfracture as assessed by pre operative workup, operative findings and outcomes were recordedwith postoperative complications. To avoid the radial nerve palsy it is isolated during operativeprocedure. Results: Present study was comprises of 30 patients with humeral fracture with themean age of 30.29±8.92 years and male/ female ratio of 7:3. On the radiological findings mostcommon type of fracture was oblique in 54%. From the complications, postoperative pain wasfound in 6.6% of the cases along with postoperative Infections in 10%. 90% fractures unitedwhile 10% fractures found with non union. Excellent result were seen in 60% of the cases, while30% cases were noted with satisfied results and very poor results were found in 10% of thecases. Conclusions: It is concluded that DCP is the good option for the fixation of diaphysealhumerus fracture. Radial nerve palsy is less likely if isolated during operation.

scholarly journals Diaphyseal fractures of the forearm in adults, comparative study of dynamic compression plate versus intramedullary nail

2019 ◽  
Vol 5 (5) ◽  
pp. 916
Author(s):  
Sagar Venkataraman ◽  
Prabhu Ethiraj ◽  
Arun Heddur Shanthappa Naik ◽  
Sachin Prakash Angadi
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Road Traffic ◽  
Dynamic Compression ◽  
Fracture Pattern ◽  
Plate Versus ◽  
Forearm Fractures ◽  
Dynamic Compression Plate ◽  
Non Union ◽  
Compression Plate

<p class="abstract"><strong>Background:</strong> Forearm fractures are common nowadays because of road traffic accident. It is important to achieve anatomical reduction of both bone forearm fractures to regain function of upper limb. This study is undertaken to observe functional and radiological outcome using two different surgical modalities like dynamic compression plating (DCP), and intramedullary nailing in both bone forearm fractures and also to indivualize the optimal treatment method for different fracture pattern.</p><p class="abstract"><strong>Methods:</strong> Our study included 60 patients with diaphyseal forearm fractures in adults presenting to orthopaedic outpatient department. Among 60 patients, 30 patients underwent open reduction and internal fixation by dynamic compression plate and other 30 patients underwent closed reduction/open reduction by square nail after detailed pre-operative evaluation.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study average union time in DCP group is 23.39 weeks and square nail group is 28.89 weeks. Union in DCP group was 27 (90%) and square nail group 22 (73.33%). Delayed union in DCP group was 03 (10%) and in Square nail group was 6 (20%), non-union in DCP group was 0 (nil) and in square nail group was 2 (06%).</p><p class="abstract"><strong>Conclusions:</strong> Open reduction and internal fixation with DCP plates for both bone diaphyseal forearm fractures gives good results with early union rates. We also found that in open fractures and complex fracture like segmental fractures square nailing was better option compared to dynamic compression plate to reduce infection rates, retain periosteal blood supply from soft tissue. Thus we conclude that both implants are equally important and we should prioritize based on preoperative planning.</p>

The Use of Open Reduction with Compression Plates

1982 ◽  
Vol 90 (5) ◽  
pp. 585-588 ◽  
Author(s):  
Paul A. Levine
Keyword(s):  
Open Reduction ◽  
Healing Rate ◽  
Dynamic Compression ◽  
Maxillofacial Trauma ◽  
Facial Fractures ◽  
Dynamic Compression Plate ◽  
Edentulous Mandible ◽  
Compression Plate

The treatment of maxillofacial trauma involves a choice of accepted therapy for most facial fractures. Experience with the application of the eccentric dynamic compression plate for the reduction of 19 fractures of the edentulous mandible has resulted in a 95% healing rate.

scholarly journals Close Comminuted Fracture in the Shaft of Femur: Managed by Open Reduction and Internal Fixation with Broad Dynamic Compression Plate (DCP) Without Stripping of Periosteum

1970 ◽  
Vol 15 (2) ◽  
pp. 96-97
Author(s):  
Md Nazrul Islam ◽  
Suzon Al Hasan
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Dynamic Compression ◽  
Dynamic Compression Plate ◽  
Comminuted Fracture ◽  
Compression Plate

Management of close comminuted fracture in the shaft of femur in adult is a difficult task. Herewe report a case who was managed by open reduction and internal fixation with broad dynamiccompression plate without stripping of Periosteum.doi: 10.3329/taj.v15i2.3919TAJ December 2002; Vol.15(2): 96-97

scholarly journals Functional Outcome of Galezzi Fracture Dislocation in Adults Treated With Dynamic Compression Plate and Kirschner Wire

2020 ◽  
Vol 18 (1) ◽  
pp. 56-59
Author(s):  
Dipendra KC ◽  
Dinesh Kumar Shrestha ◽  
Prateek Karki ◽  
Sabin Shrestha ◽  
Sushil Yogi ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Dynamic Compression ◽  
Kirschner Wire ◽  
Distal Radioulnar Joint ◽  
Fracture Dislocation ◽  
Dynamic Compression Plate ◽  
Radioulnar Joint ◽  
Compression Plate

Introduction: Galeazzi fracture-dislocation is a complex traumatic disruption of the distal radioulnar joint (DRUJ) that is associated with lower shaft radius fracture. Galeazzi fractures are extremely unstable, and the results of nonsurgical treatment are uniformly unsatisfactory. Galeazzi fractures managed with closed modalities have unsatisfactory clinical results in most of the patients in published literature so open reduction and internal fixation with plating is the standard treatment for this fracture. Aims: The aim of this study was to evaluate the functional outcome of Galeazzi fracture dislocation. Methods: This prospective study was conducted in the Department of Orthopedics at Nepalgunj Medical College Teaching Hospital Kohalpur, from April 2016 to March 2019.  It included 35 patients of age group 19 to 49. All of the fractures in this study were treated by open reduction and internal fixation (ORIF) with 3.5 mm narrow dynamic compression plate (DCP) and cortical screws via Henrys anterior approach and distal radioulnar joint (DRUJ) stabilization was done with 1 Kirschner wire (K-wire) inserted parallel to the wrist joint. Patients were observed at 6, 10, 16 and 24 weeks and 52 weeks both radiographically and clinically. Results: In this study of 35 patients, 24 (68.57%) were males and 11 (31.43%) were females with the age range of 19 to 49 years and mean age of 35 and standard deviation (SD) of ±1.5 years. Majority of fractures were observed between 31 to 40 years of age. Most of the injuries were due to fall injury 51.42%. The average duration from time of injury to surgery was 5 days and bone grafting was not needed in any cases. The average time period for union was about 16 weeks. The most common complication seen in this study was stiffness of wrist (11.42%). Twenty four patients (68.57%) had good result, 10 patients (28.57%) had fair result and one patient (2.86%) had poor result in DASH score at final follow-up. Conclusion: Open reduction and internal fixation with plating and stabilization of distal radioulnar joint with K wire yields good to fair outcome on Disabilities of Arm, Shoulder and Hand Score.

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