Comparative Study of Results of Anterior Vs Posterior Plating for Shaft Humerus Fractures
Comparative Study of Results of Anterior Vs Posterior Plating for Shaft Humerus Fractures
Keywords:
Shaft humerus fracture, plate osteosynthesis, anterior vs posterior approachAbstract
Background: Diaphyseal humeral injuries account for 3–5% of all injuries. Treatment option varies from conservative cast and brace to internal fixation with plate and screws and intramedullary nailing. Among all options, plate osteosynthesis remains the gold standard for the operative fixation of humeral shaft fractures. In present series we have studied operative result of two different techniques in terms of operative difficulties, functional outcome and complications. Methods: Study was conducted over a period of three years on thirty patients with closed acute humeral shaft fracture requiring operative interventions. In all patients, an AO 4.5 mm dynamic compression plate or Locking Compression Plate was used through anterior approach in 15 patients and posterior approach in 15 patients. Post-operatively regular follow up done and during each follow up radiological and functional outcome evaluated. Result: In all patients fracture united in mean weeks of 13.5. Mean shoulder flexion 1590 , extension 48.50 ,abduction 162.50,external rotation 76.50 and internal rotation 590. Mean range of motion of elbow 00-1390. Out of 15 patients of posterior plate group complications were: Infection- 1 (6.6%); iatrogenic radial nerve palsy – 4(26.6%). Out of 15 patients of anterior plate group no complications were observed. Conclusion: For patients requiring surgical treatment of shaft humeral fractures by plating, anterior and posterior approach both provide statistically comparable results but anterior humerus plating provides less complication rate and convenient operative position (for anesthesia) which makes it preferred approach. [Bhavik D NJIRM 2017; 8(4):1-5]
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