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Evaluation of Fixation for Distal Humeral Diaphyseal Fracture by Locking Compression Plate
1Dr Malay Kumar Saha, Associate Professor, Department of Orthopaedics, Mymensingh Medical College (MMC), Mymensingh, Bangladesh;
Mymensingh Medical Journal : MMJ
|February 14, 2019
Summary
This study shows that using a locking compression plate (LCP) for distal humeral shaft fractures is effective. The LCP provided a dependable solution with high patient satisfaction and minimal complications.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Biomedical Engineering
Background:
- Extra-articular distal humeral shaft fractures present surgical challenges.
- Traditional plating techniques have limitations.
- Locking Compression Plates (LCP) offer improved fixation for complex fractures.
Purpose of the Study:
- To evaluate the effectiveness of single LCP osteosynthesis for distal third extra-articular humeral shaft fractures.
- To assess clinical and radiological outcomes, including union rates and complications.
- To determine functional recovery using established grading systems.
Main Methods:
- Prospective observational study of 30 patients with closed distal humeral shaft fractures.
- Open reduction and internal fixation using a single LCP.
- Clinical and radiological follow-up for 6 months, assessing range of motion and functional scores.
Main Results:
- Achieved union in all patients within a mean of 15 weeks.
- No deep infections, nonunion, malunion, implant failure, or nerve injury.
- Two cases of transient radial nerve palsy and two superficial infections reported.
- 89% of patients achieved satisfactory functional outcomes (excellent/good).
Conclusions:
- Single LCP fixation is an effective and reliable method for managing distal third extra-articular humeral shaft fractures.
- The LCP technique demonstrates a low complication rate and promotes good functional recovery.
- This approach offers a dependable solution for challenging humeral shaft fractures.
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