Study Of Surgical Management Of Diaphyseal Fractures Of Humerus By Open Reduction And Internal Fixation With Dynamic Compression Plate And Screws

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 XI potential. The limitations of the study are that the sample size is small and no patients were managed operatively by nailing