OUTCOME OF THE CLOSED DIAPHYSEAL HUMERAL FRACTURE TREATED WITH DYNAMIC COMPRESSION PLATE

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Abstract

Objective: To determine the treatment outcome of the closed diaphyseal humeral
fracture treated with dynamic compression plate at Liaquat university hospital Hyderabad.
Materials and methods: Total 30 patients having displaced diaphyseal humeral fracture were
included in the study. All the patients having fracture of less than 10 days and between the ages
15 – 45 years were selected. All the patients selected after counseling and diagnosed as a case
of closed diaphyseal humeral shaft fracture on the basis of clinical examination and X-rays.
In this study dynamic compression plates (DCP) were used for stabilization of humeral shaft
fracture as assessed by pre operative workup, operative findings and outcomes were recorded
with postoperative complications. To avoid the radial nerve palsy it is isolated during operative
procedure. Results: Present study was comprises of 30 patients with humeral fracture with the
mean age of 30.29±8.92 years and male/ female ratio of 7:3. On the radiological findings most
common type of fracture was oblique in 54%. From the complications, postoperative pain was
found in 6.6% of the cases along with postoperative Infections in 10%. 90% fractures united
while 10% fractures found with non union. Excellent result were seen in 60% of the cases, while
30% cases were noted with satisfied results and very poor results were found in 10% of the
cases. Conclusions: It is concluded that DCP is the good option for the fixation of diaphyseal
humerus fracture. Radial nerve palsy is less likely if isolated during operation.