Abstract: Background: Diaphyseal fractures of the humerus and its complications are a major cause of morbidity in trauma patients, which result in significant burden to the society from loss of productivity and wages. Fractures of the humeral shaft account for 20% of all the humeral fractures and about 3-5 % of the fractures of the human body. The present study is an attempt to study the advantages & disadvantages of open reduction internal fixation with plate and screws for fracture shaft of Humerus, analyze the results & compare with the relevant standard studies.
Material & Methods: This study is a prospective study centered in Department of Orthopaedics at Rohilkhand Medical College and Hospital, Bareilly, U.P, from November 2016 to October 2017 in which 40 patients with diaphyseal humerus fractures are treated with plate osteosynthesis.
Results: Of the 40 patients in the study, 32 were males and 8 were females. The mean age was 36 years (range: 18–65 years). Twenty-one (52.5%) had the right side fractured. In this study, fractures of the middle third [Type III] (57.5%) were the commonest followed by the fractures at the junction of middle & lower third [Type IV] (32.5%). The mean radiological fracture union time was 11.8 weeks (range: 10–18 weeks). In our series we had 34 (85%) patients with excellent or good results out of 40 patients
Conclusion: Plate Osteosynthesis is a superior methods of surgical management of Diaphyseal fractures of Humerus. Early mobilization of the neighboring joints can be begun as the fixation is rigid. Procedure helps in regaining good range of movement of the shoulder & elbow joint.
