This is a post operative xray of arm of 43 years old female who suffered a fall on her hand which resulted in fractures of humerus. The side involved was left.
At first she was given a trial of conservative treatment in form of hanging cast but serial follow up xrays failed to show any contact.
After 3 weeks of her injury, she was treated with open reduction and internal fixation using low contact dynamic compression plate (LCDCP) and autogenous bone grafting which was harvested from her lef iliac crest.
The patient is still in follow up and is showing good bone healing.
Note
Conservative treatment in obese persons is relatively dificult. In my experience nothing suits an obese arm as for as splintage is considered. The splint does not provide any support because it cannot snugly fit due to fat and the fracture mobility is unchecked.
I have always found it difficult to treat the obese patients by conservative means. I am more inclined to treat them with a surgical procedure as I have found them to respond better.
However, this is my personal view and is not a fact. It would require a study on arge number of cases to prove my hypothesis
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