Abstract:
INTRODUCTION: Fractures of the humeral diaphysis has been estimated
previously as representing between 3% and 5%. Operative treatment for humerus
fractures has usually been reserved for the treatment of nonunion, associated with
fractures of forearm, for polytrauma patients, and for those with neuro-vascular
complications. Surgical fixation when indicated has the options of plating and
intramedullary fixation. Dynamic compression plate is gold standard for surgical
treatment of humeral diaphysis fracture.
OBJECTIVES: To study the effectiveness of dynamic compression plate in
achieving anatomical reduction and stability of fixation .To study the functional
outcome of surgical management of diaphyseal fracture humerus with dynamic
compression plating.
MATERIALS AND METHODS : We used dynamic compression plate for 26
patients who were admitted between November 2015 to March 2017 in BLDEU‟S
ShriB.M.Patil‟s Medical College, Hospital and Research Centre, Vijayapur for
stabilization of fracture of the humeral diaphysis. Both anterolateral approach and
posterior approach were used. A 4.5 mm narrow DCP was used.
RESULTS: A male preponderance of 73% was seen, The mean age of patients
presenting with humerus fractures in SBMPH was 39.2 years. Majority (77%) of
fractures united within 13 weeks. 42.3% of for fractures united within 10 to 11 weeks.
Mean duration of union was 12.1 weeks. Among 26 patients, 23.1% had excellent
outcome, 61.5% had a good outcome and 11.5% had fair outcome
CONCLUSION: For patients with indications for operative management of humeral
shaft fractures, plating can be done because of good functional outcomes and healing
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potential. The limitations of the study are that the sample size is small and no patients
were managed operatively by nailing
