Comparison of LC-DCP versus LCP for Internal Fixation of Humeral Shaft Fractures in Elderly Patient

Chang-Yong Hur; Won-Yong Shon; Jun-Gyu Moon; Sang-Hwan Han; Jae-Young Hong; Sung-Kang Chun

doi:10.12671/jkfs.2007.20.3.246

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Hur, Shon, Moon, Han, Hong, and Chun: Comparison of LC-DCP versus LCP for Internal Fixation of Humeral Shaft Fractures in Elderly Patient

Original Article

Journal of the Korean Fracture Society 2007; 20(3): 246-251.

Published online: 14 June 2016

DOI: https://doi.org/10.12671/jkfs.2007.20.3.246

Comparison of LC-DCP versus LCP for Internal Fixation of Humeral Shaft Fractures in Elderly Patient

Chang-Yong Hur, M.D., Won-Yong Shon, M.D., Jun-Gyu Moon, M.D., Sang-Hwan Han, M.D., Jae-Young Hong, M.D., Sung-Kang Chun, M.D.

Department of Orthopedic Surgery, Korea University College of Medicine, Seoul, Korea.

Address reprint requests to: Jun-Gyu Moon, M.D. Department of Orthopaedic Surgery, Korea University Guro-Hospital, 80, Guro-dong, Guro-gu, Seoul 152-703, Korea. Tel: 82-2-2626-1150, Fax: 82-2-2626-1164, orthocap@yahoo.co.kr

Abstract

Purpose

To compare outcomes of humeral shaft fractures fixed with locking compression plate and those fixed with dynamic compression plate in elderly patients.

Materials and Methods

Nineteen consecutive elderly patients with a fracture of the humeral diaphysis were evaluated retrospectively. Ten patients had been fixed with LC-DCP, and nine had been fixed with LCP. Radiological and clinical results were compared and comparison of implants was done.

Results

Loosening of the plate occurred in one case each from the LCP group and the LC-DCP group. The rest of the patients achieved union uneventfully without any complications. Union rate, clinical score and hardware were not significantly different between the two groups. One patient who developed loosening in the LC DCP underwent reoperation whereas one patient with loosening in the LCP was successfully managed conservatively.

Conclusion

Principle of fracture fixation was more important than plate selection in humeral shaft fracture of elderly patient.

Keywords: Humerus, Shaft fracture, Osteoporosis, LC-DCP, LCP

Figures and Tables

Fig. 1

Postoperative radiographs show development loosening of LC-DCP. Follow-up radiographs show progress of loosening and reoperation.

Fig. 2

Postoperative radiographs show loosening of LCP. Follow-up radiographs shows union of fracture site without further loosening.

Table 1

Comparison between LC-DCP (Group A) and LCP (Group B) group

C.M score: Constant Murley score, B/N: Broad/narrow.

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