Evaluation of locked plate in the osteosynthesis of fractures in osteoporotic bones

• Published in: Annals of African medicine 2017-07, Vol.16 (3), p.127-130
• Main Authors: Oboirien, Muhammad, Agbo, Stephen Patrick, Ajiboye, Lukman Olalekan
• Format: Article
• Language: English
• Subjects: Adult; Age groups; Aged; Amputation; Analysis; Bone Plates; Bone surgery; Bones; Care and treatment; Developing countries; Female; Fracture Fixation, Internal - instrumentation; Fracture Fixation, Internal - methods; Fracture Healing; Fractures; Fractures (Injuries); Fractures, Bone - complications; Fractures, Bone - surgery; Humans; LDCs; Male; Middle Aged; Nonunion; Original; Orthopedic fixation devices; Orthopedics; Osteoporosis; Osteoporosis - complications; Osteoporosis - surgery; Reconstructive surgery; Skin & tissue grafts; Surgeons; Surgery; Teaching hospitals; Trauma; Treatment Outcome
• ISSN: 1596-3519; 0975-5764
• DOI: 10.4103/aam.aam_3_17

The use of conventional dynamic compression plates (DCPs) in osteoporotic bones is associated with higher chances of implant failure. The advent and use of locking combi-plates have ensured a stable construct during osteosynthesis of fractures in osteoporotic bones. The study aims to assess the outcome of use of locking combi-plates in the management of fractures in osteoporotic bones in our environment. Cases of patients with nonunion and localized osteoporosis from January 2014 to December 2014 that were managed with locked combi-plates were reviewed. Outcome was assessed by time to healing, stability of implant construct after 6 and 12 months. There were 10 patients with mean age of 47.4 ± 12.63 years. There were 9 males and 1 female, and road traffic crashes were the mechanism of injury in 90% (n = 9) and gunshot injuries in 10% (n = 1). Atrophic nonunion was the most common indication for osteosynthesis with 80%, followed by fibrous nonunion with 10.0%. The humerus was the most common long bone involved with 50%. Locked broad DCP was used in 62.5%, and the duration between initial injury and surgery was 6 and 48 months, with an average of 17.5 months. The outcome was such that 90% healed after 12 months on follow-up while one case had the implant backing out and delay union at 6 months. The use of locked plate in the management of nonunion in the presence of osteoporosis ensures stable fixation construct and healing. Contexte: L'utilisation de plaques de compression dynamiques conventionnelles dans les os ostéoporotiques est associée à des chances plus élevées de défaillance de l'implant. L'avènement et l'utilisation de combi-plaques de verrouillage ont assuré une construction stable lors de l'ostéosyntheis de fractures dans les os ostéoporotiques. Objectifs: L'étude vise à évaluer le résultat de l'utilisation de combi-plaques de verrouillage dans la gestion des fractures dans les os ostéoporotiques dans notre environnement. Méthodologie: Les cas de patients atteints d'ostéoporose non syndiquée et localisée de janvier 2014 à décembre 2014 qui ont été gérés avec des combi-plaques verrouillées ont été examinés. Le résultat a été évalué par le temps de guérison, la stabilité de la construction d'implant après 6 et 12 mois. Résultats: il y avait 10 patients avec un âge moyen de 47,4 12,63. Il y avait 9 hommes et 1 accident de la route et de la route était le mécanisme de la blessure dans 90% (n = 9) et les blessures par balle dans 10% (n = 1). La non-unio