Fixation of Distal Humeral Fracture in elderly patients by Locking Compression Plating Technique

Abstract

Fractures involving the distal part of the humerus are difficult to treat. These fractures are even worse in elderly patients with osteoporotic bone. Stable internal fixation is a pre-requisite for early mobilisation and therefore to have a better functional result. Locking compression plate is thought to be beneficial for fracture fixation with osteoporotic bone. The results of fracture distal humerus fixation by LCP in elderly patients were reviewed. From October 2001 to March 2006, 33 patients older than 60 years old with distal humerus fracture had been treated in our unit by using a locking compression plate. Those fractures involving an isolated capitellum or trochea fracture were excluded from our study. The results of this fixation were evaluated.29 patients were available for review. 34% fracture had intra-articular involvement. The mean time to follow-up was 26 months (12 months to 72 months). The average range of motion was 91 degrees (ranged 60-150 degree). Complications included delay union, wound infection and ulna nerve symptoms were encountered. No implant related problems were noticed.Locking compression plate could provide a stable internal fixation for osteoporotic fracture involving the distal humerus. Good result and low complication rate can be achieved.