J Korean Shoulder Elbow Soc.  2008 Dec;11(2):137-142.

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

• Ha SS
• Kim JY
• Hong KD
• Sim JC
• Kang JH
• Park KH

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.

Keyword

Humerus; Proximal humerus fracture; Locking compression plate

MeSH Terms

Female
Follow-Up Studies
Humans
Humeral Head
Humerus
Joints
Male