A clinical study of minimal invasive anterior bridge plating for humerus shaft fractures
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 2
Abstract
Introduction: In humeral shaft fractures management anterior bridge plating is reported as an acceptable less traumatic and reproducible procedure by several authors. Our study done to evaluated the clinical, radiological, and functional outcome of such fractures in 10 patients, all of which were managed with dynamic compression plate over an average follow up period of 16 months. Though open reduction and plating technique of humerus shaft fracture is gold standard, this technique also gives good outcome. Materials and Methods: Ten patients with humerus shaft fractures were managed by anterior bridge plating using Minimum invasive osteosynthesis technique between Jan 2016 and April 2017 were included in this study. All cases were treated with closed reduction and 4.5mm dynamic compression plate fixation over anterolateral aspect in bridging mode using the MIPO technique. The dominant side, gender ratio, surgery time, radiation exposure, and fracture union time, and complications were noted. The UCLA shoulder and Mayo elbow performance scores were used for assessing the shoulder and elbow function. Results: Out of the ten patients in the study, seven were males and three were females. The mean age was 38 years (range 24 to 60 years). seven out of ten patients (70%) had the dominant side fractured. Mean surgical time in minutes was 80min (range: 60–100 minutes) and mean radiation exposure, in terms of one sec for each c-arm exposure was 88 seconds (range: 60–140 seconds).The mean fracture union (radiological) time was 11.6 weeks (range: 10–18 weeks). However Shoulder function was excellent to good in 9 cases (90%) and fair in 1 case (10%) on the UCLA score. Conclusion: There is high rate of union and excellent functional outcomes by this procedure. Minimal incision with this anterior bridge technique for fracture shaft humerus results in good functional outcomes and should be considered as an effective surgical option in the treatment of humeral shaft fractures. It is a safe and less time consuming method for simple types of humeral shaft fractures when the surgeon is experienced in the technique.
Authors and Affiliations
Mohammed Ibrahim, Dr. Vijay H Rathod
Keywords
Related Articles
- EP ID EP486068
- DOI 10.22271/ortho.2018.v4.i2a.01
- Views 102
- Downloads 0
Comparison of flexible intramedullary nailing with external fixation in compound tibial shaft fractures
Aim: This study compared the results of flexible intramedullary nailingusing Ender nails (EN) with those of external fixation (EF) in compound tibial shaft fractures. Materials and Methods: Twenty-eight patient with tib...
Case report rare greater trochanter fracture
Introduction: The Greater Trochanter fracture is a rare injury. It is of two types, True fracture which occurs only in Adults or as Epiphyseal separation which are found in adolescent population. It is caused by direct h...
Prospective study of hemiarthroplasty for intracapsular fracture neck of femur using modular bipolar prosthesis
Fracture neck of femur is a leading cause of hospital admissions in elderly age group. The number of such admissions is on a rise because of increased longevity, osteoporosis and sedentary habits. Conservative methods of...
A prospective analysis of efficacy of fenestration discectomy in patients with symptomatic lumbar disc prolapse
Background: Aim of the study was to evaluate the efficacy of Fenestration Discectomy in symptomatic Lumbar Disc Prolapse in terms of pain relief, recovery of neurological deficit and assessing complication rates. Materia...
An intervention study on the effectiveness of isometric quadriceps hamstrings exercise in the treatment of osteoarthritis, knee joint
Objective: The purpose of this research was to verify the effectiveness of 6 months isometric quadriceps hamstring strengthening exercises on pain, function and joint stiffness of patients with knee osteoarthritis Materi...