Results of Open Reduction and Internal Fixation of Humeral Shaft Fractures using Locking Compression Plate

ABSTRACT

Introduction: Fractures shaft of the humerus is common in an orthopedic practice. Open reduction and plating of these fracturesallow anatomical reduction without affecting elbow and shoulder function but involve extensive soft tissue stripping. We treat22 cases of humeral shaft fractures using locking compression plate (LCP).Objective: The objective of this study was to measure the clinical outcome which includes fracture healing, radial nerve recovery,infection, and functional range of motion in the shoulder and elbow. Radiographic measurements included fracture alignment,time to healing, delayed union, and non-union.Materials and Methods: Twenty-two skeletally mature patients with acute humeral shaft fractures requiring surgical stabilizationas indicated by the fracture pattern, failure to maintain reduction by conservative method, and associated injuries were treatedby open reduction and internal fixation (ORIF) using LCP. Follow-up was possible only on 20 patients.Results: Nineteen Humeral shaft fractures united completely, one fails to unite necessitating subsequent procedure whichwas united afterwards within 1½ years. Two superficial wound infections in patients with an open fracture and one transientpost-operative radial nerve palsy were the only complications. A functional range of motion in the elbow and shoulder wasregained in all except in one patient who had severe bone and soft tissue injuries in the same extremity.Conclusion: ORIF with locking compression plating becomes the treatment of choice with increased popularity for humeralshaft fracture as it can give good results by providing both biologic and mechanical advantages.