Treatment of Middle Third Humeral Shaft Fractures with Anteromedial Plate Osteosynthesis through an Anterolateral Approach
- Author:
Kumar BS
;
Soraganvi P
;
Satyarup D
- Publication Type:Journal Article
- MeSH:
Fractures, Bone
- From:Malaysian Orthopaedic Journal
2016;10(1):38-43
- CountryMalaysia
- Language:English
-
Abstract:
Background: Treatment of humeral shaft fractures has been
a subject of debate for many decades. Even though a large
majority of humeral shaft fractures can be treated by non
operative methods, few conditions like open fractures, polytrauma,
ipsilateral humeral shaft and forearm fractures
require surgical intervention. The goal of treatment of
humeral shaft fractures is to establish union with an
acceptable humeral alignment and to restore the patient to
pre-injury level of function. The objective was to assess the
incidence of radial nerve palsy, non-union and mean time
required for in anteromedial plate osteosynthesis with
anterolateral approach and also to measure the functional
outcome of this procedure.
Method: A prospective study was conducted in the
Department of Orthopaedics, PESIMSR, Kuppam, Andhra
Pradesh, from August 2012 to August 2015 with a total of 54
patients who were operated with anteromedial plate
osteosynthesis were included in the study. RodriguezMerchan
criteria was used to grade the functional outcome.
Results: Of the 54 patients, 28 (58.85%) were in the age
group of 30-40 years. The most common fracture pattern
identified was A3 type (48.14%).The mean (+ SD) duration
of surgery for anteromedial humeral plating was 53 ± 5.00
minutes. The time taken for the fracture to unite was less
than 16 weeks in the majority or 50 patients (92.59%). Four
(7.40%) patients had delayed union. There was no incidence
of iatrogenic radial nerve palsy. Rodriguez – Merchan
criteria showed that 37(68.51%) of the patients had good and
12 (22.22%) had excellent functional outcome.
Key Words:
Humeral shaft fractures; Plate osteosynthesis; Antero-lateral approach
- Full text:P020160712516165314836.pdf
