Surgical management of fracture shaft of humerus in adults with limited contact dynamic compression plate

Abstract

Introduction: Fractures of the shaft of the humerus account for 1% to 3% of all fractures.1With the formation of the AO group in 1958, internal fixation of bone and joint injuries secured scientific outlook. Despite the numerous surgical techniques, Plate Osteosynthesis remains the gold standard for fixation of humeral shaft fractures. The present study reemphasizes the effectiveness of plate osteosynthesis in the management of humeral shaft fractures so as to restore the patient structurally and functionally to near normal status. Materials and Methods: This is a prospective study of 35 adult patients with diaphyseal Humeral fractures treated with plate osteosynthesis. After a thorough pre-operative assessment cases were taken up for surgery. All the patients were assessed radiologically and clinically for fracture union at regular intervals of 6 weeks, 12 weeks and 18weeks by using ROMMEN’S et al. series grading.28 Results: In our series, majority of the patients were males, middle aged, with road traffic accidents being the commonest mode of injury, involving middle third. 91.43% of the fractures united with excellent, 5.71% good and 2.86% poor results Conclusion: The LCDCP of humeral shaft fractures produce excellent results, the advantage being early mobilization, early union but the complication, duration of surgery and surgical techniques remains unchanged.