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Prospective study of humerus shaft fractures in adults treated with dynamic compression plating

Author: 
Dr. Haveri Sameer, M. and Dr. Maheswarappa, D.
Subject Area: 
Health Sciences
Abstract: 

Background and Objectives: Fractures of Humeral shaft account for approximately 3% to 5% of all fractures. Most will heal with appropriate conservative care, although a small but consistent number will require surgery for optimal outcome. The aim of this study is to assess the results of humeral shaft fractures with dynamic compression plate (DCP). Methodology: This is a prospective study of 35 cases of fracture shaft of humerus admitted to Bapuji Hospital and C.G Hospital attached to J.J.M Medical College, Davangere,between october 2005 to september 2007. Cases were taken according to inclusion and exclusion criteria. Results: In our series of 35 cases there were 31 males and 4 females, with average age of 42.5 yrs. 26(74%) cases were admitted due to road traffic accident and with slight predominance of left side. Out of 35 cases, 4(11%) were proximal third, 28(80%) were middle third and 3 (9%) were distal third. Transverse or short oblique fractures were most common i.e., 18(51%) patients. 11(31%) cases were having associated injuries. The fractures united in 33(94%) patients with 2(6%) cases going for non-union due to deep infection in one, in other case may be due to immediate weight bearing activity done by the patient. There was one (3%) case of delayed union which united after 6 months. Good or full range of mobility of shoulder and elbow joints was present in 32 (91%) patients with 3(9%) patients having stiffness of shoulder and elbow joint. Conclusion: Internal fixation of the humerus with DCP achieves higher union rates and comparable better results as compared to other modes of treatment.

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