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Anteromedial plating for mid-shaft humeral fractures

Background Operative treatment of humeral shaft fractures includes plate osteosynthesis, intramedullary nailing, or external fixation. The present study aimed to evaluate functional and radiological results of fixation of mid-shaft humeral fractures through anteromedial plating. Patients and methods This prospective study was conducted on 21 patients with middle third humeral fractures treated through anteromedial plating. Patients were followed up monthly up to 9 months after surgery. Follow-up included radiograph imaging, pain during rest, the ability to perform ordinary activities, range of movement of elbow joint, and functional assessment using Murphy scoring system. Results The operative functional outcome was excellent in 14 (66.7%) patients, good in four (19.1%) patients, and fair in three (14.2%) patients. All patients returned to preoperative activity levels and achieved full range of movement. Eighteen (85.8%) fractures united 3 months postoperatively, whereas the remainder three patients achieved union within 6 months. Comparison between patients with various clinical outcomes revealed significant association between better outcome and younger age. Conclusion Anteromedial plating is an effective and safe option for humeral shaft fractures. Younger age is associated with better outcome.