Study for the management and functional outcome of the disphyseal humeral non�union with compression plating on medial surface and cancellous bone grafting

Dr. Rajeev Yadav; Dr. Ashok Kumar; Dr. Anurag Chhabra; Dr. Sunny Bansal; Dr. Priyanjal Jakhar; Dr. Jay Dhariwal; Dr. Mayank Dutta

Volume : VI, Issue : V, May - 2016

Study for the management and functional outcome of the disphyseal humeral non�union with compression plating on medial surface and cancellous bone grafting

Dr. Rajeev Yadav, Dr. Ashok Kumar, Dr. Anurag Chhabra, Dr. Sunny Bansal, Dr. Priyanjal Jakhar, Dr. Jay Dhariwal, Dr. Mayank Dutta

Abstract :

Background: In humeral diaphyseal fractures, nonunion is not a rare event. It occurs upto 8% in conservative and upto 13% in operative management. Plate osteosynthesis in case of diaphyseal humeral fracture is done either on posterior or lateral surface. Aim of our study is to study the management and functional outcome of diaphyseal humeral nonunion with compression plating on medial surface and cancellous bone grafting. Methodology: This prospective study includes 22 patients conducted at the department of orthopaedics at Maharaja Agrasen Medical College, Agroha, Hisar (Haryana) from june 2013 to june 2015. Results: There were 16 males and 06 females. Average age was 45.6 years. Average time of nonunion was 22.4 months. Average time of union was 14.4 weeks. Medial plate osteosynthesis with cancellous bone grafting was done in all. 100% union was achieved in all. No case of infection and iatrogenic radial nerve palsy. Conclusions: We found medial plate osteosynthesis with bone grafting has achieved 100% union rates in less time. It is relatively simple, with less need of soft tissue dissection, no need of radial nerve exploration and that’s why it leads to decrease (in our study nil) iatrogenic radial nerve palsy