scholarly journals Locked Intramedullary Nailing versus Dynamic Compression Plating for Humeral Shaft Fractures

2009 ◽  
Vol 17 (2) ◽  
pp. 139-141 ◽  
Author(s):  
Amit B Putti ◽  
Rajendra B Uppin ◽  
Babu B Putti
Keyword(s):  
Intramedullary Nailing ◽  
Functional Outcomes ◽  
Dynamic Compression ◽  
Adhesive Capsulitis ◽  
Humeral Shaft ◽  
Complication Rates ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures ◽  
Compression Plating ◽  
Dynamic Compression Plating

Purpose. To compare functional outcomes, union and complication rates in patients treated with locked intramedullary nailing or dynamic compression plating for humeral shaft fractures. Methods. 32 men and 2 women with humeral shaft fractures were randomised to undergo locked antegrade intramedullary nailing (IMN, n=16) or dynamic compression plating (DCP, n=18). Patients with pathological fractures, grade-III open fractures, neurovascular injury, or fractures for more than 2 weeks were excluded. Fractures were classified according to the AO classification system (one in A1, 6 in A2, 12 in A3, 6 in B1, and 9 in B2). 28 were injured in road traffic accidents. The functional outcome (according to the American Shoulder and Elbow Surgeons [ASES] score) and rates of union and complication of the 2 groups were compared. Results. All patients were followed up for a minimum of 24 months. In the respective IMN and DCP groups, the mean ASES scores were 45.2 and 45.1 (p=0.69), the complication rates were 50% and 17% (p=0.038), and the non-union rates were 0% and 6% (p=0.15). In the IMN group, 2 sustained iatrogenic fractures during nail insertion; 2 had transient radial nerve palsies; one underwent nail removal for shoulder impingement; and 3 had adhesive capsulitis. In the DCP group, one underwent re-operation for implant failure; one had a superficial infection; and one developed adhesive capsulitis. Conclusion. The complication rate was higher in the IMN group, whereas functional outcomes were good with both modalities.

scholarly journals Antegrade Interlocking Nailing versus Dynamic Compression Plating for Humeral Shaft Fractures

2012 ◽  
Vol 20 (3) ◽  
pp. 288-291 ◽  
Author(s):  
Sunil G Kulkarni ◽  
Ankit Varshneya ◽  
Mohit Jain ◽  
Vidhisha S Kulkarni ◽  
Govind S Kulkarni ◽  
...  
Keyword(s):  
Dynamic Compression ◽  
Humeral Shaft ◽  
Humeral Shaft Fractures ◽  
Interlocking Nailing ◽  
Shaft Fractures ◽  
Compression Plating ◽  
Dynamic Compression Plating

scholarly journals Ender Nail versus Dynamic Compression Plating For Humeral Shaft Fractures

2018 ◽  
Vol 4 (1e) ◽  
pp. 313-315
Author(s):  
Dr. Pawan Kumar ◽  
Dr. Vidya Sagar ◽  
Dr. Ashutosh Kumar ◽  
Dr. Santosh Kumar
Keyword(s):  
Dynamic Compression ◽  
Humeral Shaft ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures ◽  
Compression Plating ◽  
Dynamic Compression Plating

scholarly journals Dynamic Compression Plate Versus Intramedullary Interlocking Nail for Managemaent of Humeral Shaft Fractures

2014 ◽  
Vol 3 (2) ◽  
pp. 10-13
Author(s):  
Pashupati Chaudhary ◽  
Navin Kumar Karn ◽  
Bikram Prasad Shrestha ◽  
Guru Prasad Khanal ◽  
Shivraj Paneru ◽  
...  
Keyword(s):  
Blood Loss ◽  
Dynamic Compression ◽  
Operating Time ◽  
Humeral Shaft ◽  
Dash Score ◽  
Interlocking Nail ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures ◽  
Plate Group ◽  
Compression Plating

Introduction: With the dramatic success of intramedullary fixation for fractures of the femur and tibia, there was speculation that Intramedullary Interlocking Nails might be more appropriate for humeral shaft fractures in comparison to Dynamic Compression Plates. There are very few studies comparing these two methods of fixation in shaft of humerus fractures and virtually no study in this part of world. The aim of the study was to compare these fixation methods in terms of duration of operating time, amount of blood loss, rate of infection, pain at the fracture site, time to achieve union, functional outcome(DASH score) and complications of surgery. Methods: This was randamised control trial in which all patients with fractures of shaft of humerus that met the criteria for operative interventions ( intramedullary interlocking nailing and dynamic compression plating) presenting to the department of Orthopaedics BPKIHS during the study period and giving informed consent were included in the study. The patients were randomized using Excel random number generation technique into two groups. N Group: Cases treated with intramedullary interlocking nail and P Group: Cases treated with dynamic compression plate. Results: Most of the patients were right handed. The operating time for nailing was 100±11.24 minutess in comparision to 90.25± 15.6 minutes for humerus plating. The mean blood loss in nail group was 148.75 ±36.70 while in plate group blood loss was 205±45.60. Post operative hospital stay was similar in both groups with mean stay of 4.5 days.The peroperative radial nerve palsy was 4% in nailing group as compared to 2% in plating group. Radiologically four cortices union was only 50% in nailing group while it was 80% in plating group at 24 weeks post operatively. Dash score gradually improved in both nail and plate group but Dash score was significantly higher in plating group at 6,12,18 and 24 weeks follow up. Conclusion: Dynamic compression plating is better for fracture shaft of humerus. Plate osteosynthesis remains the gold standard of fixation for humeral shaft fractures. DOI: http://dx.doi.org/10.3126/noaj.v3i2.9513 NOAJ July-December 2013, Vol 3, Issue 2, 10-13

scholarly journals Comparative study of functional outcome of dynamic compression plating and interlocking intramedullary nailing for fructure shaft of humerus

2017 ◽  
Vol 3 (5) ◽  
pp. 1038
Author(s):  
Aminul Islam Mamood ◽  
Ajay Kumar Mahto
Keyword(s):  
Comparative Study ◽  
Dynamic Compression ◽  
Humeral Shaft ◽  
High Rate ◽  
Trauma Patients ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures ◽  
One Year ◽  
Compression Plating

<p class="abstract"><strong>Background:</strong> Fracture of the diaphysis of humerus and its complications are a major cause of morbidity in trauma patients. Fracture of the humeral shaft account for 20% of humeral fractures &amp; about 3% of all fractures. There is a debate between the choices of operation in humeral shaft fractures.</p><p class="abstract"><strong>Methods:</strong> A comparative study of management of acute humeral shaft fractures treated by Dynamic Compression Plate (DCP) and Intra Medullary Interlocking Nail (IMILN) fixation over a period of one half years. 18 patients of IMILN and 20 patients of DCP were included after considering inclusion and exclusion criteria. Functional scoring criteria were used for postoperative assessment &amp; the average follow up period was one year.<strong></strong></p><p class="abstract"><strong>Results:</strong> A high rate of excellent &amp; good results &amp; a tendency for early union was seen with the plating group than nailing group.</p><strong>Conclusions:</strong> Plating shows better results than nailing.

scholarly journals Compression plating versus intramedullary nailing of humeral shaft fractures—a meta-analysis

2006 ◽  
Vol 77 (2) ◽  
pp. 279-284 ◽  
Author(s):  
Mohit Bhandari ◽  
P. J. Devereaux ◽  
Michael D Mckee ◽  
Emil H Schemitsch
Keyword(s):  
Intramedullary Nailing ◽  
Meta Analysis ◽  
Humeral Shaft ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures ◽  
Compression Plating

scholarly journals Humeral shaft fractures

2021 ◽  
Vol 6 (1) ◽  
pp. 904-914
Author(s):  
Nicolas Gallusser ◽  
Bardia Barimani ◽  
Frédéric Vauclair
Keyword(s):  
Intramedullary Nailing ◽  
Radial Nerve ◽  
Functional Outcomes ◽  
Functional Results ◽  
Humeral Shaft ◽  
Radial Nerve Palsy ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures ◽  
Early Exploration ◽  
Type Of Fracture

Humeral shaft fractures are relatively common, representing approximately 1% to 5% of all fractures. Conservative management is the treatment of choice for most humeral shaft fractures and offers functional results and union rates that are not inferior to surgical management. Age and oblique fractures of the proximal third are risk factors for nonunion. Surgical indication threshold should be lower in patients older than 55 years presenting with this type of fracture. Functional outcomes and union rates after plating and intramedullary nailing are comparable, but the likelihood of shoulder complications is higher with intramedullary nailing. There is no advantage to early exploration of the radial nerve even in secondary radial nerve palsy. Cite this article: EFORT Open Rev 2021;6:904-914. DOI: 10.1302/2058-5241.6.200033

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