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Year : 2012  |  Volume : 39  |  Issue : 3  |  Page : 114-117

Study of functional outcome of humerus shaft fracture in adults treated with dynamic compression plating

Department of Orthopaedics, KLE University's JN Medical College and Dr. Prabhakar Kore Hospital and Medical Research Centre, Belgaum, Karnataka, India

Correspondence Address:
Sameer M Haveri
H.No. 2, Second Cross, Veerbhadra Nagar, Belgaum - 590 016, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-5009.105912

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Background and Objectives: Fractures of humeral shaft account for approximately 3-5% 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). Materials and Methods: 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 and September 2007. Cases were taken according to inclusion and exclusion criteria. Results: In our series of 35 cases, there were 31 men and 4 women, with average age of 42.5 years. Twenty-six (74%) cases were admitted due to road traffic accident and with slight predominance of left side. 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, that is, 18 (51%) patients. Eleven (31%) cases were having associated injuries. The fractures united in 33 (94%) patients with 2 (6%) cases going for nonunion 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 six 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 with other modes of treatment.

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