J Korean Shoulder Elbow Soc.  2007 Dec;10(2):204-211.

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

• Shin SI
• Song KW
• Lee JY
• Lee SY
• Kim GR
• Hyun YS
• Park DY

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.

Keyword

Humerus; Proximal humerus fracture; LCP

MeSH Terms

Follow-Up Studies
Humans
Humeral Head
Humerus*
Necrosis
Shoulder