Operative management of pediatric humeral shaft fractures

Abstract

The aim of this study to describe the indications, technic and results of operative of Pediatric Humeral Shaft Fractures operated at Ashwini Hospital between Jun 2013 to May 2015. Twenty Pediatric patients ranging in age from 7-14 years (Mean 10 years) where treated surgically with TENS by lateral dual entry approach and follow up done at 3, 6, 12, 24 & 36 weeks. The patients were followed for 9 months. All fractures healed in good alignment relative surgical indication included compound fractures, lower extremity injuries including fractures and head injuries. Two patients had radial nerve injury at the time of presentation in the casualty. There were no complication line neuro vascular injuries and two patients developed superficial infection post operative. Two patients with preoperative radial nerve injury recovered on conservative treatment by Ten weeks. All the Twenty patients return to their normal activities of daily living with no completions. Therefore, we conclude that TEN fixation is an ideal procedure for treating Humeral Shaft Fractures in which provides stable fixation, with minimal tissue damage at the fracture site. The Lateral dual entry point is better and avoids injury ul nerve.