Comparison of therapeutic effects between locking compression plate and anatomical plate fixation in the treatment of proximal humeral fracture
LIU Dong
SUN Yongming
HUA Jun
SHEN Yixin
Abstract：Objective To compare clinical results between locking compression plate (LCP) and anatomical plate (ACP) internal fixation in the treatment of proximal humeral fracture, and to explore the appropriate internal fixation methods for the fracture. Methods From January 2007 to January 2013, 63 patients with proximal humeral fracture were treated by LCP or ACP fixation in the Seventh People's Hospital of Suzhou, among them 26 patients underwent LCP fixation (LCP group), while 37 patients underwent ACP fixation (ACP group). Postoperative complications were observed, and clinical effects were evaluated by Neer scoring standard. Results In LCP group, 25 patients were followed up for an averge of 16 months (6-36 months); In ACP group, 29 patients were followed up for an averge of 26 months (7-48 months). According to Neer scoring criteria, good-excellent rate in LCP group was better than that in ACP group, but there had no statistical differences between two groups (96% vs 90%, P >0.05). During the follow-up, there were humeral head necrosis and absorption in 1 case and screw loosening and partly pull-out in 2 cases in ACP group. No poseoperative complications such as screw breakage, refracture, displacement, bone nonunion, radial or axillary nerve injury had been obseved in 2 groups. Conclusion Both LCP and ACP fixation are effective for patients with proximal humeral fracture, but LCP treatment in this study shows less postoperative complications and obtain more safe and reliable effects.
Keywords：Shoulder fracturesBone platesFracture fixationinternal
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 294-296 )