Locking compression plating for osteoporotic and peri-articular fractures: a short term outcome analysis
Keywords:Locking compression plating, Osteoporotic, Peri-articular fractures, Short term outcome analysis
Background: Peri-articular and osteoporotic fractures of long bones are becoming more common and are very challenging injuries to treat even for a veteran orthopaedician. In young patients, peri-articular fractures occur due to high-velocity injuries such as road traffic accidents, firearm injuries, and sports injuries while in elderly patients with osteoporosis it occurs usually due to low-velocity injury like fall during walking. The aim of the study is to analyze the short term results in terms of union and functional outcome for osteoporotic and periarticular fractures treated with locking compression plating.
Methods: This is a study conducted in the Department of Orthopaedics, Government Tiruvarur medical college. Tiruvarur. This study is a prospective study conducted in the Department of Orthopaedics from June 2017 to May 2018 with a sample size of 21 cases. The fracture is classified using the various classification systems earlier described.
Results: Solid union was observed in 18 out of the 21 cases (86%) which are similar to other studies. The range of movements attained at an average follow-up of 15.5 months was 87% of which 17 had excellent results, 2 had a good outcome, 1 had the fair outcome and 1 case had poor functional results.
Conclusions: The results of our study have confirmed earlier reports that locking compression plates provide better fixation in osteoporotic fractures. The chances of implant failure are less as the screws are firmly positioned inside the bone.
Gardner MJ, Brophy RH, Campbell D, Mahajan A, Wright TM. The mechanical behavior of locking compression plates compared with dynamic compression plates in a cadaver radius model. J Orthop Trauma. 2005;19(9):597-603.
Pleco M, Kraus A. Internal fixation of proximal humerus fractures using the locking compression proximal humeral plate. Oper Orthop Traumatol. 2005;17(1):25-50.
Bjorkeenheim JM, Pajarinen J, Savolainen V. Internal fixation of proximal humeral fractures with a locking compression plate: a retrospective evaluation of 72 patients followed for a minimum of 1 year. Acta Orthop Scand. 2004;75(6):741-5.
Frankhauser F, Boldin C, Schippinger G, Haunschmid C, Szyskowitz R. A new locking plate for unstable fractures of the proximal humerus. Clin Orthop Relat Res. 2005;430:176-81.
Sommer C, Babst R, Muller M, Hanson B. Locking compression plate loosening and plate breakage: a report of four cases. J Orthop Trauma. 2004;18(8):571-7.
Egol KA, Kubiak EN, Fulkerson E, Kummer Fj, Koval J. Biomechanics of locked compression plate and screws. J Orthop Trauma. 2004;18(8):488-93.
Kaab MJ, Frenk A, Schmeling A, Schaser K, Schutz M, Haas NP. Locked internal fixator: sensitivity of screw/ plate stability to the correct insertion angle of the screw. J Orthop Trauma. 2004;8:483-7.
Ring D, Kloen P. Kadzielski J, Helfet D, Jupiter JB. Locking compression plates for osteoporotic nonunions of the diaphyseal humerus. Clin Orthop Relat Res. 2004;425:50-4.
Korner J, Diederichs G, Arzdorf M, Lill H, Josten C, Schneider E, Linke B. A biomechanical evaluation of methods of distal humerus fracture fixation using locking compression plates versus conventional reconstruction plates. J Orthop Trauma. 2004;18(5):286-93.
Gautier, Sommer C. Guidelines for the clinical application of the LCP. Injury 2003;34(2):63-76.
Sommer C, Gautier E, Muller M, Helfet DL, Wagner M. First clinical results of the locking compression plate. Injury. 2003;34(2):43-54.
Korner J, Lill H, Muller LP, Rommens PM, Schneider E, Linke B. The LCP-concept in the operative treatment of distal humerus fractures-biological, biomechanical and surgical aspects. Injury. 2003;34(2):20-30.
Cole PA, Zlowodski M, Kregor PJ. Less Invasive Stabilization System (LISS) for fractures of the proximal tibia: indications, surgical technique and preliminary results of the UMC Clinical Trial. Injury. 2003;34(1):16-29.
Egol KA, Kubiak EN, Fulkerson E, Kummer FJ, Koval KJ. Biomechanics of locked plates and screws. J Orthop Trauma. 2004;8(8):488-93.