Epidemiological Study for Traumatic Humeral Shaft Fractures in Adults

Study Overview
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Brief Summary
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Primary Objective : To evaluate the incidence of radial nerve palsy for adult patients with humeral shaft fractures Secondary Objective : To establish management protocol for traumatic humeral shaft fractures in adults at AUH

Detailed Description
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Diaphyseal humeral shaft fracture is defined as an extra articular fracture of the humerus with Exclusion of both 5 cm of both upper and lower ends (Muller et al,1990) Within the last Century, many conservative and surgical techniques developed all over the world to solve this problem (Welter D et al, 1991) Conservative treatment was a gold standard since the full research which was published by Sarmiento (Sarmiento, 1977 ) Within the last few decades, with the establishment of osteosynthesis and surgical fixation of long bone which had better outcome in comparison to conservative treatment, it led to a changes in the protocols of treating fractures of the humerus (Muller et al,1990) Within the last decade, with the revolution of biological non anatomical fixation of the humeral shaft fractures, a new era of management was established and became popular all over the highly qualified trauma centres (Balam KM et al, 2014) So, the rational of this work, is to document different surgical strategies of biological fixation of humeral shaft fractures in adults with its results.

Official Title
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Epidemiological Study for Traumatic Humeral Shaft Fractures in Adults Who Were Admitted to Assiut University Hospital Within One Year

Conditions
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Humerus Shaft Fracture

Intervention / Treatment
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* Procedure: surgical treatment for humerus shaft fracture


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All patients with traumatic humeral shaft fracture more than 16 years old who are admitted in Assiut University Hospital Exclusion Criteria: Patients with humeral shaft fracture less than 16 years old or patients with pathological humeral shaft fracture

Ages Eligible for Study
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Minimum Age: 16 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Procedure: surgical treatment for humerus shaft fracture|surgical treatment for humerus shaft fracture|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To evaluate the occurrence of different patho-anatomic subtypes of humeral shaft fractures and the prevalence of primary radial nerve palsy clinically in patients preoperative and postoperative . | To evaluate the occurrence of different patho-anatomic subtypes of humeral shaft fractures and the prevalence of primary radial nerve palsy clinically in patients preoperative and postoperative . | within one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To evaluate the effectiveness of surgical management for the different subtypes by follow up patients postoperative . | To evaluate the effectiveness of surgical manag ement for the different subtypes by follow up patients postoperative . | within one year |