Proximal Humeral Locking Plate

What is Proximal Humeral Locking Plate？

Proximal humeral fractures are common, accounting for 5% to 9% of all fractures. Their incidence is particularly high in patients over 65 years of age, and they are one of the most common types of fractures. Most proximal humeral fractures are stable, have minimal displacement, and can be treated conservatively.

Proximal humeral locking plates, such as proximal humeral interlocking plates, offer several potential advantages in the treatment of these injuries. They are thin, site-specific plates. The plates have been preformed for the proximal humerus and the insertion of locking screws avoids the need for compression of the bone by the plate, thus maintaining the blood supply to the bone. The insertion of multiple multiaxial locking screws into the humeral head fracture block through a specific targeting device provides fixed angular support in multiple planes and should theoretically maintain the achieved reduction while allowing early mobilization.

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Proximal Humeral Locking Plate: An Overview of Its Uses and Benefits

The proximal humeral locking plate is a medical device used for the surgical treatment of fractures in the proximal humerus, which is the upper arm bone that connects the shoulder to the elbow. This article will provide a comprehensive overview of the proximal humeral locking plate, including its uses, benefits, and potential risks.

What is a Proximal Humeral Locking Plate?

A proximal humeral locking plate is a medical device made of titanium or stainless steel that is used for the surgical treatment of fractures in the proximal humerus. The plate is designed to be placed on the outer surface of the bone and secured in place with screws. The locking plate has multiple screw holes that allow for secure fixation of the bone fragments, providing stability during the healing process.

Uses of a Proximal Humeral Locking Plate

A proximal humeral locking plate is primarily used for the treatment of fractures in the proximal humerus, which can be caused by a variety of factors such as trauma, osteoporosis, or cancer. The locking plate can be used for both displaced and non-displaced fractures and can provide stability to the bone during the healing process.

Additionally, the proximal humeral locking plate can be used in cases where non-surgical treatment, such as casting or immobilization, has failed to provide adequate healing. It can also be used for the treatment of avascular necrosis, a condition where the blood supply to the bone is disrupted, leading to bone death and potentially leading to fractures.

Benefits of a Proximal Humeral Locking Plate

One of the primary benefits of a proximal humeral locking plate is the stability it provides to the fractured bone. This stability can reduce pain and facilitate quicker healing. Additionally, the use of a locking plate can reduce the risk of displacement or malalignment of the bone fragments, which can occur with non-surgical treatment.

Another benefit of a proximal humeral locking plate is that it allows for earlier mobilization and rehabilitation, which can lead to better outcomes for the patient. The locking plate can also be used in patients with osteoporosis, where the bone density is reduced, as it provides additional stability to the bone.

Risks of a Proximal Humeral Locking Plate

While the use of a proximal humeral locking plate can provide significant benefits, there are potential risks associated with its use. The most common risks include infection, nerve damage, and non-union (where the bone fails to heal properly).

In some cases, the locking plate may need to be removed due to complications, such as loosening or irritation of the surrounding tissue. Additionally, the use of a locking plate may not be suitable for all patients, and the decision to use one should be made on a case-by-case basis.

Conclusion

The proximal humeral locking plate is a medical device used for the surgical treatment of fractures in the proximal humerus. Its use can provide significant benefits, including stability to the fractured bone and earlier mobilization and rehabilitation. However, there are potential risks associated with its use, which should be carefully considered before making the decision to use a locking plate.

FAQs

Q: How long does it take for a fractured humerus to heal with the use of a locking plate? A: The healing time can vary depending on the severity of the fracture and other factors. Typically, it takes several months for the bone to fully heal.

Q: Is the use of a proximal humeral locking plate painful? A: The use of a locking plate may cause some discomfort, but pain can be managed with pain medications prescribed by a doctor.

Q: Can a locking plate be used for the treatment of shoulder dislocation? A: No, a locking plate is not used for the treatment of shoulder dislocation. It is used for the surgical treatment of fractures in the proximal humerus.

Q: What is the recovery time after surgery with a proximal humeral locking plate? A: Recovery time can vary depending on the severity of the fracture and other factors, but it typically takes several months for the bone to fully heal. Physical therapy may also be necessary for several weeks or months after the surgery.

Q: Are there any restrictions on activities after the use of a proximal humeral locking plate? A: Depending on the severity of the fracture and the individual patient, there may be restrictions on certain activities, such as lifting heavy objects or participating in contact sports. Your doctor will provide specific instructions for activity restrictions during the healing process.

Q: How long does a proximal humeral locking plate need to stay in place after surgery? A: The locking plate is typically left in place permanently unless it causes complications or becomes problematic for the patient. Your doctor will determine if removal is necessary based on your individual case.