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Indian Journal of Orthopaedics logoLink to Indian Journal of Orthopaedics
letter
. 2013 Sep-Oct;47(5):534. doi: 10.4103/0019-5413.118219

Outcome of locking compression plates in humeral shaft nonunions

Sandeep R Biraris 1,, Dhiraj V Sonawane 1, Hitendra G Patil 1, Pradip S Nemade 1
PMCID: PMC3796935  PMID: 24133322

Sir,

We read the article “Outcome of locking compression plates in humeral shaft nonunions” by Kumar et al.1 with keen interest.

We would like to comment about a few discrepancies

  1. The authors have quoted a study by Ring et al.2 It is mentioned by the authors that “Ring et al. had reported average interval of 28 months (range 5-192 months),” but we did not find these findings in the original article by Ring et al.2

  2. In the discussion the authors have mentioned that they inserted screws in all the holes of locking compression plate. They believed that reduced working length can minimize the failure of implant. However, literature reports mention that reduced working length can cause more strain on the implant and, hence, leads to plate failure.3,4

REFERENCES

  • 1.Kumar MN, Ravindranath VP, Ravishankar MR. Outcome of locking compression plates in humeral shaft nonunions. Indian J Orthop. 2013;47:150–5. doi: 10.4103/0019-5413.108899. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Ring D, Kloen P, Kadzielski J, Helfet D, Jupiter JB. Locking compression plates for osteoporotic nonunions of the diaphyseal humerus. Clin Orthop Relat Res. 2004;425:50–4. doi: 10.1097/01.blo.0000131484.27501.4b. [DOI] [PubMed] [Google Scholar]
  • 3.Gautier E, Sommer C. Guidelines for the clinical application of the LCP. Injury. 2003;34(Suppl 2):B63–76. doi: 10.1016/j.injury.2003.09.026. [DOI] [PubMed] [Google Scholar]
  • 4.Smith WR, Ziran BH, Anglen JO, Stahel PF. Locking plates: Tips and tricks. J Bone Joint Surg Am. 2007;89:2298–307. doi: 10.2106/00004623-200710000-00028. [DOI] [PubMed] [Google Scholar]

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