Outcome Analysis of Plating in Shaft of Humerus Fracture
Journal Title: PARIPEX-Indian Journal of Research - Year 2016, Vol 5, Issue 2
Abstract
Prospective study of thirty cases of shaft of humerus fractures treated by open reduction and internal fixation using Dynamic Compression plate are taken. 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 females patient. Age of these patients ranged from 20 to 60 years. The right side is affected in 19 patients and left side in 11 patients. AO classification is used to classify the fractures.12 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 series we have one non union , one delayed union and one case of deep infection. Proper preoperative planning, minimal soft tissue dissection, strict asepsis, proper postoperative rehabilitation and patient education are more important to obtain excellent results. Early Post-Operative mobilization following rigid fixation of the fracture of humerus, with DCP lowers the incidence of stiffness and sudecks dystrophy.
Authors and Affiliations
Dr. Ganesan Ganesan Ram, Dr. Ranjith Rajasekeran, Dr. Vignesh Jayabalan
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