DOI: 10.36347/sjams.2020.v08i12.017

Pages: 2772-2776

Introduction: Fractures of humeral shaft account for approximately 3% of all fractures. Most fractures may heal conservatively by hanging casts [1], although a small but consistent number will require surgery for optimal outcome. Aim: To assess the results of humeral shaft fractures managed by various surgical modalities. Materials and methods: This is a prospective study of 40 cases of fracture shaft of humerus admitted in department of orthopaedics, Prathima Institute of medical sciences, Nagnoor, Karimnagar, and Telangana between October 2018 to September 2020. Cases were taken according to inclusion and exclusion criteria. Various modalities used were : Broad or narrow 4.5mm DCP, LCP, extra articular distal humeral long plates, TENS, rush nails, Enders nails, inter locking nail humerus, Ilizarov fixator, External fixation for additional stability in case of TENS and rush nails and also for temporary immobilization in case of infected non-union. Case follow up done up to 2yrs. Results: In our series of 40 cases, there were 23 males and 17 females, with average age of 44 yrs. 29(72%) cases were admitted due to road traffic accident and with slight predominance of left side. Out of 40 cases, 4(10%) were proximal third, 32(80%) were middle third and 4 (10%) were distal third. Transverse or short oblique fractures were most common i.e., 27(67%) patients. 4(10%) cases were having associated injuries. The fractures united in 28(70%) patients with 6(15%) cases going for non-union. There was 6(15%) case of delayed union which united after 6 months. Good or full range of mobility of shoulder and elbow joints was present in 30 (75%) patients with 1(2.5%) patients having stiffness of elbow. Conclusion: Surgical management of the humerus shaft fractures with various methods achieves variable union rates. Each implant has its failure rates whatever may be the fracture type. Union rates not only purely depends on implant but also on age, bone quality, infection,...............