Treatment of fracture shaft humerus with dynamic compression plate osteosynthesis – A prospective study

Abstract

Background and Objectives: Fractures of Humeral shaft account for approximately 3% of all long bone fractures. Most will heal with appropriate conservative care, although a small but consistent number will require surgery-for optimal outcome. The aim of this study is to assess the results of humeral shaft fractures with dynamic compression plate (DCP). Methodology: This is a prospective study of 20 cases of fracture shaft of humerus admitted to Sri siddhartha Medical College & Research Center, Tumkur, between July 2005 to October 2006. Cases were taken according to inclusion and exclusion criteria. Results: In our series of 20 cases there were 18 male s and 2 females, with average age of 33.4 yrs. 16(80%) cases were admitted due to road traffic accident and with copal side affected. Out of 20 cases, 2(10%) were proximal third, 16(80%) were middle third and 3 (9%) were distal third. Transverse or short oblique fractures were most common i.e., 14(70%) patients. 7(3 5%) cases were having associated injuries. The fractures united in 19(95%) patients with 1(5%) cases going for non-union due to deep infection in one, in other case may be due to immediate weight bearing activity done by the patient. Good or full range of mobility of shoulder and elbow joints was present in 19 (95%) patients. Conclusion: Internal fixation of the humerus with DCP achieves higher union rates and comparable better results as compared to other modes of treatment.