scholarly journals OUTCOME OF THE CLOSED DIAPHYSEAL HUMERAL FRACTURE TREATED WITH DYNAMIC COMPRESSION PLATE

2018 ◽  
Vol 21 (05) ◽  
pp. 1021-1025
Author(s):  
Imran Khan Maher ◽  
Muhammad Ayub Laghari ◽  
Shakeel Ahmed Memon ◽  
Muhammad Saeed Arain
Keyword(s):  
Radial Nerve ◽  
Nerve Palsy ◽  
Dynamic Compression ◽  
Excellent Result ◽  
Humeral Fracture ◽  
University Hospital ◽  
Radial Nerve Palsy ◽  
Female Ratio ◽  
Dynamic Compression Plate ◽  
Compression Plate

Objective: To determine the treatment outcome of the closed diaphyseal humeralfracture treated with dynamic compression plate at Liaquat university hospital Hyderabad.Materials and methods: Total 30 patients having displaced diaphyseal humeral fracture wereincluded in the study. All the patients having fracture of less than 10 days and between the ages15 – 45 years were selected. All the patients selected after counseling and diagnosed as a caseof closed diaphyseal humeral shaft fracture on the basis of clinical examination and X-rays.In this study dynamic compression plates (DCP) were used for stabilization of humeral shaftfracture as assessed by pre operative workup, operative findings and outcomes were recordedwith postoperative complications. To avoid the radial nerve palsy it is isolated during operativeprocedure. Results: Present study was comprises of 30 patients with humeral fracture with themean age of 30.29±8.92 years and male/ female ratio of 7:3. On the radiological findings mostcommon type of fracture was oblique in 54%. From the complications, postoperative pain wasfound in 6.6% of the cases along with postoperative Infections in 10%. 90% fractures unitedwhile 10% fractures found with non union. Excellent result were seen in 60% of the cases, while30% cases were noted with satisfied results and very poor results were found in 10% of thecases. Conclusions: It is concluded that DCP is the good option for the fixation of diaphysealhumerus fracture. Radial nerve palsy is less likely if isolated during operation.

Distal 3rd Diaphysial Fracture of Humerus Fixed with Dynamic Compression Plate Using Posterior Approach- The Assessment of the Outcome

2021 ◽  
pp. 82-91
Author(s):  
Syed Zakir Hossain ◽  
Kazi Noor Sitan ◽  
S. M. Rokonuzzaman ◽  
Md. Abu Awal Shameem ◽  
Md. Saiful Islam
Keyword(s):  
Bone Grafting ◽  
Open Reduction ◽  
Nerve Palsy ◽  
Posterior Approach ◽  
Dynamic Compression ◽  
Autogenous Bone ◽  
Radial Nerve Palsy ◽  
Dynamic Compression Plate ◽  
Autogenous Bone Grafting ◽  
Compression Plate

Objectives: The effectiveness of open reduction and Dynamic Compression Plate (DCP) fixation with or without autogenous bone grafting using the posterior midline approach in the treatment of distal third diaphyseal humeral fractures was assessed. Methods: For humeral nonunion, comminuted fractures, or early failure of conservative therapies, 33 patients (24 men, 9 women; mean age 37 years; range 20 to 60 years) were operated on. The study was carried out at Dhaka Medical College Hospital (DMCH), Dhaka from July 2005 to December 2006. Results: After an average of 17 weeks, all of the patients had union (range 14 to 26 weeks).There was no deep infection, nonunion, malunion, implant failure, or nerve injury in any of the patients. In two cases, transient radial nerve palsy occurred. Minor infections were seen in four of the individuals. All of the patients were pain-free after surgery.The functional outcome was outstanding in all instances and good in 16 patients, yielding 87 % satisfying results. Functional outcomes increased considerably postoperatively compared to preoperatively (p<0.001). In 20 individuals, the range of motion of the shoulders was great. The range of motion at the elbow was considerable in 21 patients and moderate in seven others. More than three-quarters of the patients (75.8%) experienced no problems. Four patients (12.1%) were infected, and two patients (6.1%) developed iatrogenic radial nerve palsy as a result of the surgery. One patient (3%) had a loose screw, while another (3%) needed blood transfusions owing to extensive bleeding at the donor graft site. Conclusion: In distal third humeral fractures, open reduction and posterior DCP fixing, with or without autogenous bone grafting, is a safe and effective treatment option, especially when there is no infection or bony or neurovascular damage. Very few study conducted on distal 3rd diaphysial fracture of humerus fixed with DCP using posterior approach, therefore this study conducted to know the assessment of the outcome.

scholarly journals Treatment Results Of Diaphyseal Forearm Fractures With Dynamique Compression Plate A Retrospective study of 156 Cases.

2015 ◽  
Vol 2 (2) ◽  
pp. 36-39
Author(s):  
Hassan Boussakri ◽  
Abdelhalim Elibrahimi ◽  
Mohammed Bachiri ◽  
Ahmed Bouziane Ouaritini ◽  
Mohammed Shimi ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Traffic Accidents ◽  
Dynamic Compression ◽  
Young Male ◽  
University Hospital ◽  
Forearm Fractures ◽  
Dynamic Compression Plate ◽  
Orthopedic Department ◽  
Compression Plate ◽  
Male Patients

This retrospective study addresses a series of 156 cases of forearm fractures. These 156 cases were managed in the trauma-orthopedic department (B4) of Fez University Hospital, Morocco, from May 2008 till January 2013. The purpose of this study is to analyze epidemiological and clinical factors of diaphyseal forearm fractures and the results of their treatment with dynamic compression plate (DCP), as well as the complications and therapeutic errors of this surgical technique. The frequency of hospitalization in the trauma-orthopedic department was 3,96%. Ages ranged between 16 and 83, the average age was 32. 132 patients were male (85%). 90% were managed at the day of trauma. Traffic accidents were the most frequent cause in 52% patients. The fracture was in the left forearm in 65% of patients. 53% of fracture lines were in the middle third of the forearm. 38 fractures were open, and 30 were admitted for polytrauma. Osteosynthesis was performed with dynamic compression plate for all patients. In comparison with the literature, our series shows the predominance of young male patients, with traffic accidents being the cause. Osteosynthesis with dynamic compression plate remains the treatment of choice that provides satisfactory results if the accuracy in this technique was respected.

The Humeral Fracture with Radial Nerve Palsy: Is Exploration Warranted?

1972 ◽  
Vol 88 ◽  
pp. 34-38 ◽  
Author(s):  
John W. Packer ◽  
Robert R. Foster ◽  
Alexander Garcia ◽  
S Asiiby Grantham
Keyword(s):  
Radial Nerve ◽  
Nerve Palsy ◽  
Humeral Fracture ◽  
Radial Nerve Palsy

scholarly journals Iatrogenic Radial Nerve Palsy following Closed Reduction of a Simple Diaphyseal Humeral Fracture: Beware the Perfect X-Ray

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Morgan Jones ◽  
Hean Wu Kang ◽  
Christopher O’Neill ◽  
Paul Maginn
Keyword(s):  
Nerve Injury ◽  
Clinical Assessment ◽  
Radial Nerve ◽  
Nerve Palsy ◽  
Humeral Fracture ◽  
Shaft Fracture ◽  
Humeral Shaft Fracture ◽  
Radial Nerve Palsy ◽  
X Ray ◽  
Radial Nerve Injury

Radial nerve injury is a recognised complication associated with humeral shaft fracture. A case of iatrogenic radial nerve injury is presented following fracture reduction. The relevant anatomy, challenges in management of humeral fractures with associated radial nerve injury, and the importance of detailed clinical assessment and documentation are discussed.

scholarly journals Managing Radial Nerve Injuries Associated with Humeral Fracture

2020 ◽  
Vol 71 (1) ◽  
pp. 400-404
Author(s):  
Vlad Carbunaru ◽  
Ana Maria Oproiu ◽  
Adrian Barbilian ◽  
Chen Feng-Ifrim ◽  
Alexandra Ciotei
Keyword(s):  
Nerve Injury ◽  
Radial Nerve ◽  
Nerve Palsy ◽  
Bone Fractures ◽  
Humeral Fracture ◽  
High Energy ◽  
Humeral Shaft ◽  
Long Bone ◽  
Radial Nerve Palsy ◽  
Radial Nerve Injury

The overall prevalence of radial nerve injury after humeral shaft fractures is up to 18% representing the most common peripheral nerve injury associated with long bone fractures. Spiral or oblique fractures of the junction between the middle and distal third of the humeral shaft are at greater risk for radial nerve injury. Iatrogenic damage to the radial nerve may also occur during manipulations of closed reduction. A prospective study between 2017-2019 following 5 patients (all male, with ages between 30 and 56 years old), who were treated at our clinic for complete radial nerve palsy after a high-energy fracture of the humerus. All the patients were followed-up for a mean of 6 months (range 4 - 15 months) post op. The first 3 cases showed the initial signs of recovery 4 weeks after the operation. In the last 2 cases a palliative radial intervention was required. The consequences of the radial nerve palsy associated with humeral fractures is strongly related to trauma mechanism. In high energy fractures, severe contusion or transection of the nerve must be expected. In this case, nerve recovery is unlikely and the patients should be informed of the poor prognosis and the need of tendon transfers.

Humeral shaft fracture and radial nerve palsy in Korean soldiers: focus on arm wrestling related injury

2020 ◽  
pp. jramc-2019-001373
Author(s):  
Kyoung-Eun Kim ◽  
E-J Kim ◽  
J Park ◽  
SW Kim ◽  
J Kwon ◽  
...  
Keyword(s):  
External Force ◽  
Military Service ◽  
Radial Nerve ◽  
Nerve Palsy ◽  
Humeral Fracture ◽  
Shaft Fracture ◽  
Humeral Shaft Fracture ◽  
Humeral Shaft ◽  
Radial Nerve Palsy ◽  
Humeral Shaft Fractures

IntroductionHumeral shaft fractures can lead to radial nerve injury and may require surgery and rehabilitation. We determined the causative events of humeral fracture, including arm wrestling, in young Korean soldiers and examined whether humeral fracture is related to demographic characteristics and the presence of radial nerve palsy.MethodsWe reviewed 7.5 years (July 2012 to June 2019) of medical records covering patients who had experienced a humeral shaft fracture after entering military service and had received surgery for open reduction and internal fixation. Data were obtained on basic demographics, initial event provoking the fracture, presence of radial nerve palsy, initial and follow-up severity of the weakness, and any discharge from military service because of prolonged radial nerve palsy.ResultsOf 123 cases, arm wrestling was the leading cause (52.8%). A high energy injury, such as falling from a height (11.4%), and sports related slips (10.6%) were other causes. All humeral shaft fractures caused by forceful contraction were spiral, while 40% of the fractures caused by external force related events were of a transverse type. The percentage of left-sided fractures was significantly higher for fractures arising from an external force than in those caused by forceful contraction related events. Radial nerve palsy was found in 34 patients (27.6%), and 16 were discharged from the military because of prolonged radial nerve palsy 6 months after the fracture. The causative events and other factors did not affect the presence of radial nerve palsy.ConclusionArm wrestling was the leading cause of humeral fracture in young Korean soldiers but the chance of developing comorbid radial nerve palsy did not differ from that of other causes. These epidemiologic findings in this young active group may help in understanding the causes of humeral shaft fracture in soldiers and in the wider young population.

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