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 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 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 One-Year Follow-Up After Treatment of Proximal and/or Middle One-Third Humeral Shaft Fractures with a Helical Plate: Healing Rates, Complications and Functional Outcome Measures

2021 ◽  
Author(s):  
Vincent Maes ◽  
Guy Putzeys
Keyword(s):  
Radial Nerve ◽  
Plate Osteosynthesis ◽  
Humeral Shaft ◽  
Radial Nerve Palsy ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures ◽  
Conventional Plate ◽  
One Year ◽  
Helical Plate

Abstract Background: Conventional plate osteosynthesis is a valuable treatment option in displaced proximal and/or middle one-third humeral shaft fractures. Nonetheless, this procedure can be complicated by a radial nerve palsy. To date, many surgical techniques have been developed in an attempt to minimize this high-impact complication. However, a helical plate has the potential to avoid an iatrogenic radial nerve palsy due to its design. This article aims to evaluate safety and functional outcomes of patients treated with a helical plate compared to conventional plate osteosynthesis. In particular healing rates, complications and functional outcome measures.Methods: We retrospectively included all patients with displaced proximal and/or middle one-third humeral shaft fractures who were treated with a helical plate from October 2016 until August 2018 at a single level-1 trauma center (AZ Groeninge, Kortrijk, Belgium). A self-molded long PHILOS plate (DePuy Synthes®) or a pre-contoured A.L.P.S proximal humeral plating system (Zimmer Biomet®) were used. Patient baseline characteristics and standard radiographs were obtained pre- and postoperatively. We retrospectively searched for complications. Patients were reassessed using the Disabilities of the Arm, Shoulder and Hand (DASH), Constant Murley (CMS) and EQ-5D-5L scores with a minimal follow-up of one year.Results: The humeral shaft fractures of all sixteen patients consolidated within three months and no iatrogenic radial nerve palsies were observed. One plate had to be removed after one year due to a late infection. With a minimum follow up of one year, the mean DASH score was 22 \ 19 and the mean normalized CMS was 80 B 19.Conclusion: Operative treatment of proximal and/or middle one-third humeral shaft fractures with a helical plate is a safe procedure with good to excellent shoulder function at one-year follow-up. Contrary to conventional plate osteosynthesis, a helical plate has the potential to completely avoid a radial nerve palsy, while maintaining similar healing rates and functional outcomes.Trial registration: B396201939564. Registered on 6 MAY 2019 – retrospectively registred. Ethics Committee: Medical Ethics Committee, AZ Groeninge, Kortrijk, Belgium.

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 A New Minimally Invasive Approach for Treatment of Middle and Distal-third Humeral Shaft Fractures

2021 ◽  
Author(s):  
Jing Yang ◽  
Lina Zhang ◽  
Dapeng Liu ◽  
Zhanxin Lu ◽  
Tang Liu
Keyword(s):  
Minimally Invasive ◽  
Plate Osteosynthesis ◽  
Constant Score ◽  
Humeral Shaft ◽  
High Rate ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Invasive Approach ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures

Abstract Purpose: To evaluate the feasibility and safety of a new minimally-invasive surgical approach–anteromedial minimally-invasive plate osteosynthesis (MIPO) in the treatment of middle and distal-third segment humeral shaft fractures.Methods: From November 2016 to March 2020, 14 patients (8 males and 6 females) with middle and distal-third segment humeral shaft fracture who were treated surgically by one surgeon of our department were retrospectively evaluated. Four fractures were type A1, tow fractures type A2, four fractures type A3 and four fractures type B1. In the surgical procedure, 11 fractures were treated with anterolateral MIPO approach, while three fractures used the anterolateral + lateral MIPO approach. Patient’s age averaged 48 years (range, 25–81). Results: Average follow-up time, months: 21.7, (range 12 to 36 months). QuickDASH score at final follow-up averaged 2.5 points (range, 0–4.5), The constant score averaged 88.5 points (range, 80–100). All fractures there were no nerve injuries, infections, and Other severe complications occurred.Conclusion: The anteromedial approach MIPO technique has the advantages of less trauma, less bleeding, low risk of nerve injury and high rate of fracture healing. It is one of the most effective methods for the treatment of middle and middle–distal humeral shaft fractures. Our study provided a new approach for the treatment of middle and distal-third segment Humeral shaft fractures.

scholarly journals HUMERAL SHAFT FRACTURES

2018 ◽  
Vol 25 (12) ◽  
pp. 1809-1813
Author(s):  
Junaid Khan ◽  
Raja Umar Liaqat ◽  
Muhammad Imran Aftab ◽  
Talia Urooj ◽  
Rahman Rasool Akhtar ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Dynamic Compression ◽  
Operative Management ◽  
Shaft Fracture ◽  
Humeral Shaft Fracture ◽  
Humeral Shaft ◽  
Trauma Patients ◽  
Humeral Shaft Fractures ◽  
Shaft Fractures ◽  
Dominant Condition

Objectives: To determine the functional outcome of operative management of humeral shaft fractures. Study Design: Prospective cohort study. Place and Duration: At the Department of Orthopaedics, Benazir Bhutto Hospital, Rawalpindi, for a duration of 02 years from 12th January 2016 to 11th January 2018. Patients and Methods: 45 patients presenting with humeral shaft fractures and meeting the inclusion criteria were included. All patients underwent fixation with a Dynamic Compression Plate (DCP). Functional outcome assessed at six months post-operatively using the American Shoulder and Elbow Surgeons Scoring System (ASES). Results: Mean age of patients included in the study was 34.6 ± 10.3 years.Out of the 45 patients, 31 (68.9%) were males and 14 (31.1%) females. Pre-dominant condition resulting in operative management was humeral shaft fracture in poly trauma patients (n=27, 60%). Shoulder functioning following surgery was good with a mean ASES score of 81.1±10.6. Conclusion: Plating in humeral shaft fractures results in a good functional outcome postoperatively. 

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