ORIGINAL ARTICLE   

Minerva Orthopedics 2021 October;72(5):533-7

DOI: 10.23736/S2784-8469.20.04021-7

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

A study of functional outcome of humeral shaft fracture treated with anterior bridge plating

Nishant V. SHIVADE, Nitin PATIL, Paresh PATIL ✉, Sapan VORA, Jaykumar K

Department of Orthopedics, Krishna Institute of Medical Sciences “Deemed to be University,” Karad, India

BACKGROUND: The humeral shaft fractures managed by the anterior bridge plating method evaluated by the disability of arm, shoulder, and hand (DASH) questionnaire is a prescribed practice. The radiological and clinical outcomes and the range of movements of shoulder joints and elbow is reported in current study.
METHODS: A prospective, observational study was conducted for a period of one year on 33 patients with humeral shaft fracture, treated with anterior bridge plating after subjecting to inclusion and exclusion criteria. Postoperatively, patients were followed up after 6 weeks, 3 months, and 6 months and were evaluated clinically, radiologically, and functionally using the DASH scoring system. The data was analyzed by Pearson’s χ² here in a P value <0.05 was considered as statistically significant.
RESULTS: The mean age of the patients was 38±11.95 years. The mean DASH score was noted to be 13.61±0.954 and 10.40±1.107 after 3 months and 6 months of surgery, respectively. Around 90.9% demonstrated normal union while 9% showed a delayed union after the procedure. The range of motion of the shoulder in all the patients was above 150 degrees, and the elbow movement range was above 125 degrees.
CONCLUSIONS: The Anterior Bridge Plating surgery was successful for 90% of cases with humeral Shaft fractures. The DASH scores showed significant improvement after 3 months and 6 months of surgery. The 150°and 120° range of movement was obtained for the shoulder and elbow movements respectively postsurgery.

KEY WORDS: Orthopedics; Humerus; Fractures, bone