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Original Research Article Introduction: A fracture bone usually heals by the formation of new bone at the fracture site. Occasionally, only fibrous tissue is formed, when this happens both surgeon & patient are disappointed. The bone is a specialized form of connective tissue may account for its ability to heal by the formation of new bone. The humerus is a long bone connecting two important joints of upper limbwhich has wide range of movement having very little bony stability in shoulder joint and distal elbow joint which is a uni axial hinge joint. Objective: To find out the Functional Outcome Of The Results Of Locking Compression Plate For The Treatment Of Non-United Humeral Shaft Fracture Augmented With Autogenouscancellous Bone Graft. Materials & Methods: This prospective study of "treatment of nonunion of humeral shaft fracture by locking plate and screws augmented with autogenouscancellous bone grafting" was carried out during the period of 1 st December 2014 to 31th May 2016 at Pabna Medical College, Pabna, Bangladesh. Sample size will be calculated by using following statistics = 384. Purposive sampling (nonrandomized) according to availability of the patients and strictly considering the inclusion and exclusion criteria. Data will be collected with a pre-tested structured questionnaire containing history, clinical examination, laboratory investigations, pre-operative, per-operative, postoperative follow up findings and complications. Observations and Results: This prospective study of treatment of nonunion of humeral shaft fracture by locking plate and screws augmented with autogenouscancellous bone grafting was carried out in 16 patients to find out the common cause of fracture, age and sex incidence and to propose a protocol for treating such cases. Sixteen patients were included in the study group and they were divided into 4-groups. The mean age was 38.19 with a standard deviation mean (±SD) 0.04 years. The age ranged from 28 to 60 years and the maximum number was found in the age group of 30 39 years. Motor vehicle accident was the commonest cause of fracture found in 81.25% cases. Second most common cause was fall from height (12.50%). Right side involvement was more (62.50%). Among the affected people ser\Tce holders and shopkeepers were commonest (25% each), next were businessmen and farmers (18.75% each). The mean union time was 16.38 (+2.78) weeks. Postoperative complications were noticed such as wound infection (6.25%) and shoulder pain (6.25%). There was no complication (81.25%). Functional outcome of this treatment was analyzed by Constant and Murley scoring (1999). Excellent functional outcome was found in 5 (31.25%) cases, good in 9 (56.25%) cases, fair in 1 (6.25%) case and poor in 1 (6.25%) case. Regarding the final outcome satisfactory result was found in 14 (87.50%) cases and unsatisfactory result in 2 (12.50%) cases. Conclusion: Based on the results shown above it is concluded that "treatment of nonunion of humeral shaft fracture by locking plate and screws augmented with autogenouscancellous bone grafting" is an effective modality of treatment for the nonunion of humeral shaft fracture and is especially recommended in osteoporotic bones and elderly patients with compromised bone quality.

scholars journal of applied medical sciences

“Functional Outcome of the Results of Locking Compression Plate for the Treatment of Non-United Humeral Shaft Fracture Augmented with Autogenouscancellous Bone Graft: A Study in Pabna Medical College Hospital, Pabna, Bangladesh”