Abstract: Background and Objective:
Management of humeral shaft fractures has historically been largely conservative. A significant body of literature has shown that functional bracing may achieve greater than 90% union rates and acceptable functional outcomes. More recently, however, with the advent of new surgical techniques and implant options, less tolerance for acceptable deformity and functional deficits, and less patience with conservative management, many treating orthopedic surgeons are increasingly likely to consider surgical intervention.The objective of this study is to assess the functional and radiological outcome of Humerus shaft fractures in adults treated by open reduction and internal fixation with Dynamic Compression Plate.
Materials and Methods: This study was done mainly as a prospective study with some data collected retrospectively among patients admitted for fracture shaft of Humerus at tertiary care hospital between August 2013 to July 2015. 30 patients underwent open reduction and internal fixation with dynamic compression plating. In our study we have used a scoring system invented by Dr. Rajiv N. Daveshwar for calculating result.
Results: Present study was comprises of 30 patients with humeral fracture with the mean age of 37.93 years and male/ female ratio of 5:1. Excellent result was seen in 22(73.34%) cases, 6(20%) cases had good results while fair result was found in 2 cases (6.66%). None of our cases showed poor results. Complications were seen in 5 patients of which 1 had non-union and 4 developed joint stiffness. Pre-operative traumatic Radial Nerve Palsy was found in 4 patients of which 2 recovered eventually while 2 did not.
Conclusions: It is concluded that internal fixation with plating is the good option for the fixation of diaphyseal Humerus fracture. Radial nerve palsy is less likely if isolated during operation.