Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 12

An Outcome Analysis of Locking Versus Limited Contact Dynamic Compression Plate in Surgical Management of Shaft of Humerus Fracture - A Comparative, Longitudinal Study

Radha Krishna AM1, Shivananda S2, Jayaram BS1 and Vijay Bharadwaj3

1Professor, Department of Orthopaedics, Kempe Gowda Institute of Medical Sciences and Research Centre, Bangalore
2Professor and Head, Department of Orthopaedics, Kempe Gowda Institute of Medical Sciences and Research Centre, Bangalore
3Postgraduate, Department of Orthopaedics, Kempe Gowda Institute of Medical Sciences and Research Centre, Bangalore

*Corresponding Author:Vijay Bharadwaj, Postgraduate, Department of Orthopaedics, Kempe Gowda Institute of Medical Sciences and Research Centre, Bangalore.

Received: October 10, 2022; Published: November 03, 2022

Abstract

Background and Objectives: For managing humerus shaft fractures, limited contact dynamic compression plates (LC-DCP) were developed to limit contact between the bone and plate. Off late, a novel bio-friendly, locking compression plates (LCP) are hypothesized to be more suitable especially for osteoporotic bones. Current study was conducted to evaluate and compare clinical, functional and radiological outcomes and complications associated with them.

Methodology: This comparative longitudinal study conducted for a period of 18 months among subjects with fracture of humerus shaft. Subjects were assessed for 6-month follow-up. Functional outcomes were measured by Constant and Murley scoring system and Pain by using VAS score. Statistical analyses were performed using SPSS software. P value < 0.05 was considered statistically significant.

Result: W20 cases each managed by LCP and LCDCP respectively. Baseline details were statistically comparable (p > 0.05) between study groups. RTA was the commonest mode of injury. Commonest fracture pattern noted was transverse type (40%). Fracture union time was 18-24 weeks commonest among both study groups. Range of motion was 75% cases in both groups. Most patient had Constant and Murley Score between 71-85 indicating good outcome at final follow-up. 85% cases in both study groups had mild pain by VAS score at follow-up. Statistically all the patient outcome parameters were noted to be comparable between study groups (p > 0.05).

Conclusion: The Results were statistically comparable between both study groups, indicating that results from both Plates are equivalent and can be adopted to manage shaft of humerus fractures. Both the Plates were noted to be safe.

Keywords: Humerus; Fracture; Diaphyseal Fractures; Limited Contact Dynamic; Compression Plates (LC-DCP); Locking Compression Plates (LCP)

References

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Citation

Citation: Vijay Bharadwaj., et al. “An Outcome Analysis of Locking Versus Limited Contact Dynamic Compression Plate in Surgical Management of Shaft of Humerus Fracture - A Comparative, Longitudinal Study”. Acta Scientific Orthopaedics 5.12 (2022): 04-13.

Copyright

Copyright: © 2022 Vijay Bharadwaj., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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