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Year : 2017  |  Volume : 19  |  Issue : 2  |  Page : 114-117

Lower radial nerve palsy in mid shaft humerus fracture using medial plating

1 Department of Orthopaedics, CH (WC) Chandimandir, Haryana, India
2 Department of Orthopaedics, Base Hospital Delhi Cantt, New Delhi, India

Correspondence Address:
Dr. Munish Sood
CH (WC), Chandimandir - 134 107, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmms.jmms_32_17

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Background: The fixation of the fracture is considered to be the best treatment option for early mobilization in midshaft humerus fracture. The aim of the present study is to compare the functional outcome after fixation of midshaft humerus fracture using medial and anterolateral plating techniques. Materials and Methods: Sixty-one patients with midshaft humerus fracture were operated using medial and anterolateral plating technique. In Group A (n = 30), the patients were operated using medial plating for fixation while in Group B (n = 31), the patients were operated using anterolateral plating. The patients were assessed clinically, radiologically and using Mayo elbow score and the University of California-Los Angeles (UCLA) shoulder rating scale. Results: Both the groups were matched in terms of age, gender, mode of injury, side involved, and duration of injury to surgery. Postoperative radial nerve palsy was observed in four patients in Group B which was found to be statistically significant (P = 0.04). The mean UCLA shoulder score improved significantly, 28.53 in Group A and 29.16 in Group B at the final follow-up (P < 0.001). The mean Mayo's elbow score also improved significantly, 85.33 in Group A and 87.41 in Group B at the final follow-up (P < 0.001). There was no significant difference in terms of functional outcome at the final follow-up while comparing both the groups. Conclusion: The medial and anterolateral plating techniques for midshaft humerus have the similar functional outcome. The medial plating technique is associated with lower radial nerve injuries.

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