EVALUATION OF TREATMENT RESULT OF THE HUMERAL SHAFT FRACTURES BY PLATE OSTEOSYNTHESIS AT MILITARY HOSPITAL 105

Ngọc Thắng Phạm1, , Nguyen Ba Ngoc1, Tran Van Phuong2, Nguyen Thanh Long3
1 Military Hospital 103
2 Military Hospital 109
3 Military Hospital 105

Main Article Content

Abstract

Objectives: To evaluate the treatment result of humeral shaft fractures by plate  osteosynthesis. Comments on surgical timing and technique of treatments. Subjects and methods: A prospective, cross-sectional description, longitudinal follow-up, and clinical study without a control group on 45 patients (31 males, 14 females) from 18  to 79 ages, average 37.44 ± 15.79; diagnosed with humeral shaft fractures, were treated by plate osteosynthesis at Military Hospital 105 from January 2018 to June 2021. Patients with the surgical method by Plate osteosynthesis, treatment after surgery, guide training, and re-examination to evaluate results. Results: 100% of patients’ early bone healing. Far results in 45 patients after surgery from 12 to 48 months were: good 97,8%, average 2,2%, poor 0%. Conclusion: Plate osteosynthesis remains a successful surgical treatment. Plate fixation results in high union rates but requires extensive dissection and soft tissue stripping.

Article Details

References

1. Nicolas G., Bardia B., Frédéric V. (2021). Humeral shaft fracture. Efort Open Rev; 6: 24-34. DOI: 10.1302/2058-5241.6.200033.
2. Sarmiento A., Zagorski J.B., Zych G.A. et al. (2000). Functional bracing for the treatment of fractures of the humeral diaphysis. J Bone Joint Surg Am; 82: 478-486.
3. Stewart M. J., Hundley J. M. (1955). Fractures of the humerus: A comparative study in methods of treatment. J Bone Joint Surg Am; 37-a(4): 681-692.
4. Hee H.T., Low B.Y., See H.F. (1998). Surgical results of open reduction and plating of humeral shaft fractures. Ann Acad Med Singap; 27: 772-775.
5. Shao Y.C. Harwood P. Grotz M.R. et al. (2005). Radial nerve palsy associated with fractures of the shaft of the humerus: A systematic review. J Bone Joint Surg Br; 87(12): 1647-1652.