Anterolateral surgical approach for the treatment of humeral shaft fractures

Abstract

Background: The posterior approach is the most commonly used approach for mid-shaft and distal humeral fractures. However, fixation via the posterior approach is associated with iatrogenic radial nerve palsy. The purpose of this study was to evaluate the functional outcomes of shaft humerus fracture plating with anterolateral approach. Material and Methods: The present retrospective study was conducted in the Department of Orthopaedics, PGIMS Rohtak and included 20 cases aged between 20-70 years, who were operated for shaft humerus fractures over last 3 years with plating by anterolateral approach. Results: The mean age was 42.65±12.42 with a range of 20-70 years. Mean time of fracture union was 15.65±1.82 weeks. Range of motion at elbow at final follow up was 120±15.46 degrees. 1 patient had superficial infection which was managed with intravenous antibiotics. One case of non-union with implant failure was noted in this study which was further managed by replating and bone grafting. No case of neurovascular injury post injury was reported in the present study. The mean MEPS score was 88.45±8.18. Conclusion: We conclude that anterolateral approach is a good approach for the treatment of humeral shaft fractures with a lower complication rate and better functional outcomes.