Treatment of Two- and Three-Part Fracture of Proximal Humerus using LCP.
- Author:
Sung Il SHIN
1
;
Kyung Won SONG
;
Jin Young LEE
;
Seung Yong LEE
;
Gab Rae KIM
;
Yoon Suk HYUN
;
Deok Yong PARK
Author Information
1. Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine, Seoul, Korea. s7933@naver.com
- Publication Type:Original Article
- Keywords:
Humerus;
Proximal humerus fracture;
LCP
- MeSH:
Follow-Up Studies;
Humans;
Humeral Head;
Humerus*;
Necrosis;
Shoulder
- From:Journal of the Korean Shoulder and Elbow Society
2007;10(2):204-211
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the result and complication of treatment using Locking Compression Plate (LCP) for fracture of proximal humerus. MATERIALS AND METHODS: Between 2004 and 2006, 21 patients with two-part and three-part fractures of the proximal humerus were treated by LCP fixation. Their average age was 54.9 years. Postoperative mean follow-up period was 22.9 months. The reduction was qualified and complication were assessed with final radiographs. The functional outcome was evaluated by Neer's rating system. RESULTS: By Neer's functional evaluation, mean score of shoulder function was 86.3 and 18 case (86%) had excellent or satisfactory results. There was one case of nonunion but no infection or avascular necrosis of the humeral head. No correlation was found between the final result and the type of fracture, age, gender or quality of reduction. CONCLUSION: We obtained satisfactory result of LCP fixation for fracture of proximal humerus in this study. LCP fixation for proximal humerus fracture is a reliable method to obtain satisfactory reduction, rigid fixation and early exercise.