EVALUATION OF FRACTURE OF THE SHAFT OF THE HUMERUS TREATED BY OPEN REDUCTION & INTERNAL FIXATION WITH A.O. DCP

Dr Ashok Singhvi; Dr. Nitin Goyal; Dr Hemant Jain; Dr Vinod Kathju

Volume : IX, Issue : II, February - 2019

EVALUATION OF FRACTURE OF THE SHAFT OF THE HUMERUS TREATED BY OPEN REDUCTION & INTERNAL FIXATION WITH A.O. DCP

Dr Ashok Singhvi, Dr. Nitin Goyal, Dr Hemant Jain, Dr Vinod Kathju

Abstract :

INTRODUCTION:–this study was conducted to evaluate of fracture of the shaft of the humerus treated by open reduction & internal fixation with A.O. DCP. METHOD:–In this retrospective and prospective study was conducted on 50 patients , who attended the Department of Orthopedics and Rehabilitation Research Centre, Dr S.N. Medical College, Jodhpur, Rajasthan, from a period of Feb. 2013 to Feuary 2018,to evaluate advantages and disadvantages, early and late complications, the infection rate and Epidemiology of the fractures of the shaft of the humerus treated with A.O.DCP. RESULT:–In our study out of 50 patients 44 were males and 40 had fracture due to RTA and majority of the patients were in the age group of 21–40 years with around 3/4th of the cases had fracture of the middle 3rd of the shaft of the humerus. Primary radial nerve palsy was observed in 6 (12%) of the cases. 80% of the fracture has taken a time period of 2 1/2 to 3 months, to achieve the sound union. We have followed our patients from 6 months to 5 years with a mean of 1.78 years. For assessment of our results we took the Naiman‘s criteria 197118. In our series we achieved excellent results in 40 cases (80%), 7 cases (14%) had good results and only 3 cases (6%) had poor results. CONCLUSION:– We concluded that disphyseal fractures of humerus are difficult to immobilize. It is well enstheathed by bulky muscles, whose constant contraction always makes the maintenance of reduction a difficult task , pull of gravity always tends to distract the fracture fragments. For these reason Open reduction and internal fixation is indicated. Fixation of the fracture fragments can be done either by plate and screw, interlocking IM nail or external fixators