Concluded Case

Fracture Shaft humerus with butterfly segment

Road side accident Fracture shaft humerus communitied Advised open reduction and fixation Patient refused operation Suggest

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Concluded answer

fracture proximal shaft with long butter fly fragment better to go for orif with long philos or even closed nailing also gives good union

All Answers

In this case surgery is the only option to achieve the proper healing, anatomical alignment and functional regaining of the affected limb *Counselling of patient needed for surgery *ORIF is the choice

Valuable opinion
1

Check radial nerve If okay try conservative treatment for 6weeks If it unites,slight malalignment will be compensated by a mobile shoulder joint

fracture proximal shaft with long butter fly fragment better to go for orif with long philos or even closed nailing also gives good union

I agree
0

You can do ORIF or CRIF by TENS or even coservative by extension cast

Thank you doctor
0

Feather weight extension cast

ORIF is the first choice Nailing gives speedy recovery and maybe better results