International Journal For Multidisciplinary Research

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To analyze the “Functional Outcome of Humeral Shaft Fractures Treated By Open Reduction Internal Fixation”

Author(s) Dr. Datt Jatin Girdharbhai, Dr. Nehal N Shah, Dr. Sagar Ramchandra Gengaje, Dr. Miteshkumar Sardarbhai Damor
Country India
Abstract ABSTRACT :
Background: Fractures of the humeral shaft are common. The advantages of operative management are early mobilization and patient comfort but, operative management carries the risk of technical errors and post-operative complications like infections and nerve injuries. Non-operative management of humeral shaft fractures is the mainstay of treatment with some drawbacks. The surgical options for a closed humerus diaphyseal fracture are plate osteosynthesis and intramedullary nailing, the previous being gold standard for last four decades.
Aim: The aim of this study is To analyze the “Functional Outcome Of Humeral Shaft Fractures Treated By Open Reduction Internal Fixation”.
Materials and method: A prospective study of fifty (50) patients in the age group above 18 years with diaphyseal fractures of humerus admitted in orthopedic department in Guru Govind Singh hospital and Shri. M. P. Shah Government Medical College, Jamnagar during the period of 18 month, meeting the inclusion criterion are the subjects for the present study. The complete data was collected by taking the history of illness and by doing detailed clinical examinations and relevant investigations.
Result: The shoulder function was assessed by UCLA shoulder score in the 50 patients operated 6 (12%) patients had excellent outcome 41 (82%) had good results and 3 (6%) patients had fair result. The elbow function post operatively was assessed by using Mayo elbow performance score by which 18 (36%) patients had excellent score and 31 (62%) patients had good result and 1 (2%) patient had fair result. 3 patients had post op radial nerve palsy that eventually recovered with physiotherapy. Only 1 patient had postoperative infection at operative site.
Conclusion: There is no universally superior technique or implant for surgically treating humeral shaft fractures. Optimal outcomes rely on the meticulous execution of surgical techniques, adherence to sound biomechanical principles, careful handling of surrounding soft tissues, and the use of appropriate fixation methods. When these elements are properly addressed, open reduction and internal fixation using a suitable plate can yield favorable results.
Keywords Humeral shaft fracture, Open reduction internal fixation (ORIF), Functional outcome, Plate osteosynthesis, Diaphyseal fracture, UCLA shoulder score, Mayo elbow performance score, Radial nerve palsy, Postoperative complications, Orthopaedic trauma.
Field Medical / Pharmacy
Published In Volume 7, Issue 4, July-August 2025
Published On 2025-07-25
DOI https://doi.org/10.36948/ijfmr.2025.v07i04.51964
Short DOI https://doi.org/g9vpxs
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