PATTERNS AND PROBLEMS IN THE MANAGEMENT OF HUMERAL SHAFT FRACTURES IN OUR GOVERNMENT GENERAL HOSPITAL.

Venkateswara Swamy. P; Sreenivasa chowdary. J

Volume : VIII, Issue : I, January - 2018

PATTERNS AND PROBLEMS IN THE MANAGEMENT OF HUMERAL SHAFT FRACTURES IN OUR GOVERNMENT GENERAL HOSPITAL.

Venkateswara Swamy. P, Sreenivasa Chowdary. J

Abstract :

Fractures of the shaft of Humerus continue to be a problem to the orthopaedic surgeon. Inspite of extensive work done on the methods of management and variety of complications that follow, no Universally accepted standard treatment has emerged as yet.

There is a general belief that fractures of the shaft of humerus like any other fracture are best treated by non—operative techniques.

That would of course mean that the patient is much better off if he were not to be subjected to the problems of surgery per se. However, non–operative management can be recommended only when successful results are guaranteed at the end of treatment. Such guarentees cannot be ensured at the present time.

The introduction of compression plating has eliminated the problems of stiffness of joints and promoted excellent healing and functional end results. Are we to state that compression fixation has overcome the deficiencies of ordinary fixation techniques? Has this method of fixation compensated for the con1p1ications of open reduction, however small they be? < style="mso–special–character:line–eak" /> < style="mso–special–character:line–eak" />

This study is a comparison of results of primary non– operative treatment, primary operative treatment and fixation of fractures that have failed to heel with non–operative treatment.