About 13 out of 10,000 patients get a humeral shaft fracture each year, accounting for 1.0-3.0% of all fractures. The central part of the humerus is where 60% of all humeral fractures occur. A midshaft humerus fracture typically happens because of a direct impact to the upper arm. Trauma, such as falls, motor vehicle accidents, or motorcycle accidents, is the most common cause of fractures. Internally fixing humeral shaft fractures is often accomplished by a variety of surgical techniques. Usually, the posterior technique is used to repair distal and mid-shaft fractures. However, the posterior technique necessitates lateral or prone stance. The aim of this study comparing the outcomes of internal fixation and open reduction of humeral midshaft fractures utilizing anterior and posterior plate fixation. We want to conduct this study to get evidence to confirm whether which approach is more appropriate and more successful in such fractures. Moreover, the findings of this research could profoundly influence clinical outcomes by guiding orthopedic surgeons in their decision-making for management of humeral midshaft fracture.
Presenting with humeral midshaft fracture (presence of fracture in the middle part or center of humerus )
Patients with pathological or open fractures, concomitant fractures or ligament or tendon ruptures of elbow or shoulder joints (on clinical examination)
Patients presented after 14 days of injury, partial or complete disability of the elbow or shoulder joint on the affected side before injury
Previous surgical procedure on same side
Presence of neurovascular complications
Parallel
Open Reduction Internal Fixation (ORIF) using Anterior approach for plate fixation
Procedure/SurgeryIn group A, participants will undergo ORIF by using anterior approach for plate fixation. Operative time will be noted. After surgery, patients will be shifted to post-surgical orthopedic wards and will be discharged from there. All patients will be followed-up in OPD for 3 months.
Open Reduction Internal Fixation (ORIF) using Posterior approach for plate fixation
Procedure/SurgeryIn group B, participants will undergo ORIF by using posterior approach for plate fixation. Operative time will be noted. After surgery, patients will be shifted to post-surgical orthopedic wards and will be discharged from there. All patients will be followed-up in OPD for 3 months.
Operative time
It will be assessed by using in terms of minutes required to perform surgery from time of incision given in the skin until closure of skin with stitches.
Bone union
It will be labeled if there is detectable callus bridge or at least three visible cortices on radiographs
American Shoulder and Elbow Surgeons Score (ASES)
It will be assessed after 3 months of surgery
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PakistanClick on the lead sponsor to view all of their trials.
Dr Jahanzaib Ramay
Lead sponsor
Sahiwal Teaching Hospital
Sponsor institution
Sahiwal Teaching Hospital
Collaborator