Operative Treatment with Locking Compression Plate (LCP) in Proximal Humerus Fracture

Ha,  Sung Sik; Kim,  Jae Young; Hong,  Ki Do; Sim,  Jae Chun; Kang,  Jung Ho; Park,  Kwang Hee

doi:2008.11.2.137

Clin Shoulder Elb > Volume 11(2); 2008 > Article

Original Article

Journal of the Korean Shoulder and Elbow Society 2008;11(2):137-142.
DOI: https://doi.org/10.5397/CiSE.2008.11.2.137 Published online December 31, 2008.

Operative Treatment with Locking Compression Plate (LCP) in Proximal Humerus Fracture

Sung Sik Ha, Jae Young Kim, Ki Do Hong, Jae Chun Sim, Jung Ho Kang, Kwang Hee Park

Department of Orthopedic Surgery, Seoul Adventist Hospital, Seoul, Korea. gowinfree@hanmail.net

잠김 압박 금속판을 이용한 상완골 근위부 골절의 치료

하성식·김재영*·홍기도·심재천·강정호·박광희

서울위생병원 정형외과

Abstract

PURPOSE
To evaluate the clinical and radiographic results of the treatment of a proximal humerus fracture with a locking compression plate(LCP). MATERIALS AND METHODS: This study reviewed the results of 24 cases of a proximal humerus fracture treated with a LCP from January 2005 to April 2007, after a follow up of more than 12 months. There were 8 males and 16 females with a mean age of 68.9(33-90) years. The clinical results were evaluated using the Neer's evaluation criteria, and the radiographic results were evaluated using the bone union time and Paavoleinen method.
RESULTS
The mean time for bone union was 11.9 weeks. Using the Neer's functional evaluation, 21 cases of the 24 patients (87%) showed excellent or satisfactory results. Twenty two cases (91%) showed good results according to the Paavoleinen method. The complications encountered were metal failure (1 patient), AVN of the humeral head (1 patient) and joint stiffness (1 patient).
CONCLUSION
The LCP demonstrated good results in the treatment of a proximal humerus fracture and has relatively fewer complications than other internal fixators.

Key Words: Humerus; Proximal humerus fracture; Locking compression plate