Introduction: Humeral shaft fractures represent 1–3% of all the fractures coming in our OPD.These fractures are mostly treated conservatively. Both the plate fixation and nailing techniques arebeing used but plate fixation has the advantage of lesser rates of malunion and non-union. Ourstudy aimed to evaluate the results of plate fixation in our hospital that employs plate fixation as thegolden standard. Materials and Methods: This was a retrospective cohort study of all patientstreated for a humeral shaft fracture in our hospital (District Hospital Vidisha associated with ABVMedical College, Vidisha between July 2018 and June 2020 with a mean follow-up of 6 months.Results: Plate fixation was performed in 40 patients with a humeral shaft fracture. The mean agewas 50 (SD 20) years with 60 % (n = 24) being male. There were 55 % (n = 22) fractures in theright and 45 % (n =18) fractures in the left. None of the patients develops superficial surgical siteinfection. Complications like Radial Nerve palsy, Deep surgical site infections and Non-union occurredin 2.5 % (n = 1), 2.5 % (n = 1) and 5 % (n = 2) of patients, respectively. The median duration ofradiological fracture healing was 18 (range 10–42) weeks. Conclusion: Plate fixation for humeralshaft fractures has low risks of complications. The complications can be further minimized withgreater surgical expertise.
Humeral shaft fracture: a randomized controlled trial of nonoperative versus operative management (plate fixation)
