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9.Outcome of Non Operative VS Operative Technique in Managing Mid Shaft Humerus Fracture

Babar Bakht Chughtai, Zulfiqar Ali, Asad Ali Bubak and Zobia Zulifqar

ABSTRACT

Objective: To compare the outcome of non-operative technique Vs operative technique in the treatment of mid shaft fractures of humerus.

Study Design: Randomize controlled trial study.

Place and Duration of Study: This study was conducted at the Orthopedic complex, Bahawal Victoria Hospital, Bahawalpur from March 2018 to October 2018.

Materials and Methods: 72 Patients fulfilling the inclusion criteria were selected for this study. The patients were allocated and divided into two groups A and B. Group A patients were managed by non-operative technique (U Slab) and Group B patients by operative technique. Follow up was taken at 48 hours, 8 week and 16 weeks. Outcome was compared between both groups.

Results: In this study we have 74 patients, half of them were in Group A and other half were in Group B. Patients were between ages of 15 years to 72 years. Male Patients were 47 in number and female were 27. We are comparing the two groups on the basis of pain intensity, union and movements of shoulder and elbow joints and their radiographic findings. Group A patients were treated conservatively. Out of 37 patients male patients are 22 and Females are 15 in numbers. During follow up period one patient was missed in Group A on 8th and 16th week because he had no union. But in Group B two patients were not included in our study due to iatrogenic injury of radial nerve and he was not recovered till 16th weeks and the other had developed osteomyelitis.

Conclusion: According to the data in our study there was no significant differences between conservative treatment and operative treatment in the management of mid shaft fracture of humerus regarding union. Although there is a trend towards conservative treatment to avoid the hazards of surgery as well as financial burdens on the shoulder of poor people and the Government.

Key Words: Humerus shaft fracture, non-operative (U-slab), operative (DCP)

Citation of articles: Chughtai BB, Ali Z, Bubak AA, Zulifqar Z. Outcome of Non Operative VS Operative Technique in Managing Mid Shaft Humerus Fracture. Med Forum 2019;30(4):39-43