Outcome of Dynamic Compression Plating in Fracture Shaft of Humerus

Muhammad Nadeem Yousaf; Shahabud  Din; Muhammad Rizwan Akram; Ajmal  Yasin; Rana Dawood Ahmad Khan

doi:10.29054/apmc/2014.375

Muhammad Nadeem Yousaf Department of Orthopedics Allied Hospital, Faisalabad
Shahabud Din Post Graduate Resident, Orthopedics Allied Hospital, Faisalabad
Muhammad Rizwan Akram Post Graduate Resident, Orthopedics Allied Hospital, Faisalabad
Ajmal Yasin Head of Orthopedics Punjab Medical College, Faisalabad
Rana Dawood Ahmad Khan Assistant Professor, Orthopedics Punjab Medical College, Faisalabad

DOI: https://doi.org/10.29054/apmc/2014.375

Keywords: Fracture shaft of humerus, Dynamic Compression Plate (DCP), intramedullary nail humerus (IMN). Radial Nerve

Abstract

Background: Fracture shaft of humerus is a common orthopedic problem and represents roughly 3% of all fractures, usually managed non-operatively. The usual operative modalities used for fixation of humerus fractures are the kuntscher nails, dynamic compression plate (DCP), external fixator and intramedullary nail (IMN). Plating of fracture shaft of humerus is the more common surgical treatment option. There is a higher rate of excellent and good results and tendency for earlier union with the plating of fracture shaft of humerus. Methods: This study was conducted at Orthopedic Department of Allied and DHQ Hospital Faisalabad from November 2011 to November 2012. All patients with fracture shaft of humerus were included and treated with dynamic compression plating. Results: 91 patients with mean age of 37.24 including 70

(76.9%) males and 21 (23.1%) females falling in inclusion criteria were operated by same orthopaedic surgeons team with same implant i.e. DCP. At 1^ST postoperative day, 87 patients (95.60%) had no neurological deficit while 4 patients (4.40%) had neurological deficit. At 12^th postoperative day only 9 patients (9.9%) had superficial wound infection while 82 patients (90.1%) have no wound infection. Conclusion: Humeral shaft fracture is one of the commonest fractures among the working community and elderly. Fixation of fracture with Dynamic Compression Plate is the treatment of choice. Postoperative radial nerve injury is an important complication and few patients in this study developed neurological deficit.