Study of radiological and clinical outcomes by using Anterior Bridge Plating (ABP) for humerus shaft fractures

Abstract

Background: The humerus can be considered the most versatile bone in the human body. Plating can be performed using a classic open approach or minimally invasive methods. Many humeral fractures can be successfully managed conservatively due to the wide range of acceptability. Anterior bridge plating (ABP) which utilizes the minimally invasive approach popularly known as the minimally invasive Percutaneous plate osteosynthesis (MIPPO) technique can be said to be the latest entrant in this list. The present study was undertaken to evaluate the efficacy of anterior bridge plating. Method: The study was carried out from April 2015 to December 2015 involving 15 patients who met the selection criteria and were operated at the tertiary care centre. Informed consent was obtained from all the patients for use of their clinical and imaging data. The assessment of the patients was done based on functional and radiological outcomes periodically. Result: Majority of patients belongs to age group 18-25 years (53.3%). The average age is 27.4 years. Majority of side of injury were found right side (80%). Most of cases of extent of displacement of fractures were 2-5 cms (80%). Conclusion: In conclusion anterior bridge plating (ABP) is very good technique in treating midshaft humeral fractures with minimal soft tissue dissection, smaller scars, and early return to overhead activities.