International Journal of Orthopaedics Sciences

A prospective study of surgical management of shaft of humerus fracture in general population by humerus IMIL with compression device

2021, Volume 7 Issue 1

A prospective study of surgical management of shaft of humerus fracture in general population by humerus IMIL with compression device

Author(s): Dr. Prabhu Basanagowda, Dr. Likhith D, Dr. Pradeep Hullatti, Dr. Sharangouda H and Dr. Anvith Shetty
Abstract: Aim: A fracture of the humeral shaft is a very common event. Humeral shaft fractures are generally simple fractures of the mid-diaphysis. The incidence of primary lesion of the radial nerve in association with humeral shaft fracture is quoted at 11.8% on average. Compression at the fracture site is beneficial for fracture healing; this has been used whenever fractures are fixed internally using compression plates and screws. Similarly the use of this technique i.e Humerus IMIL with Compression Device can be beneficial for achieving compression while nailing for treatment of shaft of humerus fracture.
Materials and Methodology: 20 Adult patients with traumatic humerus shaft fractures in Orthopaedic Department of Bapuji Hospital and Chigateri General Hospital attached to J.J.M. Medical College, Davangere, who were willing for surgery were admitted during the period of study. They were clinically and radiologically evaluated.
Result: The most common age group in our study was 21-40 years with the mean age of 41.13 years. Out of 20 patients 15(75%) patients were male and 5(25%) patients were female. The most common mode of injury is RTA, i.e. 16(80%) patients out of 20. This also shows the nature of involvement of Humerus shaft fractures as a part of a polytrauma patient. Right side is more commonly involved than the left. i.e.11 (55%) out of the 20 cases. In this study, the most common site of injury was Middle/3 a total of 15(75%) patients, next most common being upper/3- middle/3 junction - 5(25%). In this study the most commonly experienced type of fracture was Transverse type 14 (70%) patients, 2nd most common was Oblique fractures in 6 (30%) patients. In our study a total of 15 patients (75%) had no complications relating to surgery or post-surgery. 2(10%) cases were having shoulder stiffness which is most common complication. In our study we found that 16 patients (80%) had full range of shoulder movements. Others 4(20%) had 100-300 of residual abduction which accordingly hampered the functional outcome. In our study, 19 (95%) patients had solid union in less than 26weeks.
Conclusion: Internal fixation of fractures of the shaft of humerus with interlocked intramedullary nail with compression device gives good results with satisfactory result as it allow early mobilization and early recovery with minimal soft tissue damage.
Pages: 351-355  |  579 Views  86 Downloads
How to cite this article:
Dr. Prabhu Basanagowda, Dr. Likhith D, Dr. Pradeep Hullatti, Dr. Sharangouda H, Dr. Anvith Shetty. A prospective study of surgical management of shaft of humerus fracture in general population by humerus IMIL with compression device. Int J Orthop Sci 2021;7(1):351-355. DOI: 10.22271/ortho.2021.v7.i1f.2509
 
International Journal of Orthopaedics Sciences
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