Journal of Orthopaedics Trauma Surgery and Related Research

Journal of Orthopaedics Trauma Surgery and Related Research

An Official Journal of Polish Society of Orthopaedics and Traumatology

ISSN:1897-2276
e-ISSN: 2449-9145

All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Mid-term outcome of minimally invasive anterior bridge plating versus conventional posterior plating for diaphyseal fracture humerus- A prospective randomized trial

Author(s): GAURAV SHARMA, AKSHAY SHAH, ABHAY CHHALLANI, RAHUL KADAM, TANMAY ASAWA, PRAVEEN KUMAR ANBALAGAN

Background: The present study aims to assess the mid-term outcome in patients with diaphyseal humerus shaft fractures treated with minimally invasive anterior bridge plating versus conventional posterior plate.

Methodology: 60 consecutive patients with closed diaphyseal fracture shaft humerus were included between February 2016 and January 2019 at a tertiary care center. Patients with compound fractures, neurovascular injury, ipsilateral limb injuries, were excluded from the study. The patients were block randomized into group I (anterior bride plating) and group II (posterior plating).

Results: The mean age of the patients was 48.16 ± 8.66 in group I and 45.10 ± 9.56 years in group II respectively. AO-OTA type 12A was most commonly seen fracture type. The mean surgical time in group I was 55.80 ± 6.23 minutes while it was 85.31 ± 7.67 minutes in group II was significant (p<0.001). Patients in group I had shorter hospital stay (p=0.018). Group I has a mean union rate of 14.57 ± 1.72 while group II had a rate of 15.67 ± 2.41 weeks (p=0.046). One patient in each group had non-union. One patient in group I had lateral antebrachial cutaneous nerve injury with some residual sensory loss. There was a significant improvement in DASH scores in both groups (p=0.0043).

Conclusion: The anterior bridge plating is a reliable and reproducible technique with shorter operative time, hospital stay, early radiological union and better outcome as compared to traditional posterior compression plating.


Select your language of interest to view the total content in your interested language

20+ Million Readerbase
Indexed in

Embase/EXPERTA MEDICA Road Directory of Open Access
Scholarly Resources
Publons MIAR GBL Ministry of Science and Higher
Education
Index Copernicus
Google Scholar citation report
Citations : 281

Journal of Orthopaedics Trauma Surgery and Related Research received 281 citations as per Google Scholar report

Journal of Orthopaedics Trauma Surgery and Related Research peer review process verified at publons
SCImago Journal & Country Rank
Annals of Medical and Health Sciences Research Journal of Orthopaedics Trauma Surgery and Related Research a publication of Polish Society, is a peer-reviewed online journal with quaterly print on demand compilation of issues published.
Submit your Manuscript