A Prospective Analysis of Plating in Shaft of Humerus Fracture
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 1
Abstract
Cohort study of thirty cases of shaft of humerus fractures treat by open reduction and internal fixation using Dynamic Compression plate are taken at orthopedics ward of S. K. Hospital, Sikar. Inclusion criteria are both comminuted and segmental closed shaft of humerus fractures and exclusion criteria are open fractures and ipsilateral forearm and clavicle fractures. Twenty three are males and only seven are female’s patient. Age of these patients ranged from 20 to 60 years. The right side was involved in 19 patients and left side in 11 patients. AO classification is used to classify the fractures. Patients had B type fractures while remaining had C type fractures. The average follow up is two years. The American Shoulder and Elbow Surgeons (ASES) shoulder score and Romen al series grading are used. We have 93.3% excellent/good result and 6.7% poor results. In our patients series we have one non-union, one delayed union and one case of deep infection. Suitable preoperative planning, minimal soft tissue dissection, strict asepsis, proper post-operative rehabilitation and patient education are more significant to obtain excellent results. Timely Post-Operative mobilization following rigid fixation of the fracture of humerus, with DCP lowers the incidence of stiffness and sudecks dystrophy.
Authors and Affiliations
Nahar Singh, Shivpal Singh, Sharda Singh, Manish Choudhary
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