Treatment of Two- and Three-Part Fracture of Proximal Humerus using LCP

Shin,  Sung Il; Song,  Kyung Won; Lee,  Jin Young; Lee,  Seung Yong; Kim,  Gab Rae; Hyun,  Yoon Suk; Park,  Deok Yong

doi:2007.10.2.204

Clin Shoulder Elb > Volume 10(2); 2007 > Article

Original Article

Journal of the Korean Shoulder and Elbow Society 2007;10(2):204-211.
DOI: https://doi.org/10.5397/CiSE.2007.10.2.204 Published online December 31, 2007.

Treatment of Two- and Three-Part Fracture of Proximal Humerus using LCP

Sung Il Shin, Kyung Won Song, Jin Young Lee, Seung Yong Lee, Gab Rae Kim, Yoon Suk Hyun, Deok Yong Park

Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine, Seoul, Korea. s7933@naver.com

잠김 압박 금속판(LCP)을 이용한 상완골 근위부 이분 및 삼분 골절의 치료

신성일·송경원·이진영·이승용·김갑래·현윤석*·박덕용

한림대학교 의과대학 정형외과학 교실 강동성심병원

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.

Key Words: Humerus; Proximal humerus fracture; LCP