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[Can humerus shaft fractures be treated with osteosynthesis?]
1Allgemeinchirurgische Klinik, Departement Chirurgie der Universität, Kantonsspital Basel.
Helvetica Chirurgica Acta
|March 1, 1992
Summary
Plate fixation for humerus shaft fractures offers good outcomes, with 83.4% of patients achieving excellent or good results. This surgical approach provides better patient comfort and potentially faster return to work compared to conservative bracing.
Area of Science:
- Orthopedic Surgery
- Traumatology
Context:
- Treatment of humerus shaft fractures remains a subject of debate.
- Conservative (brace) treatment yields good results with consolidation in 8-10 weeks, accepting minor malalignment.
- Surgical osteosynthesis offers potential for improved patient comfort and faster return to work.
Purpose:
- To evaluate the outcomes of plate fixation for humerus shaft fractures.
- To compare surgical treatment with conservative management.
Summary:
- A study reviewed 127 patients with humerus shaft fractures treated with plate fixation between 1980 and 1988.
- 102 patients were followed for one year, with 83.4% showing excellent or good results and complete functional recovery.
- Complications included radial nerve issues, fixation failures, nonunion, and infections, with most resolving or managed through reoperation.
Impact:
- Plate fixation is a viable alternative to conservative treatment for humerus shaft fractures.
- This surgical method can enhance patient comfort and reduce disability duration in select cases.
- Careful patient selection and surgical technique are crucial for optimal outcomes.