Functional outcome of the effect of fibular fixation on malaligned fractures of lower third tibia-fibula treated by interlocking nail of the tibia

Background: The optimal method of humeral shaft fracture fixation remains debatable. With the dramatic success of intramedullary fixation for fractures of the femur and tibia, there was speculation that IM-ILN might be more appropriate for humeral shaft fractures than DCP. Objectives: To compare the fixation of fracture shaft of humerus with interlocking nail and dynamic compression plate 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 randomised control trial study. All patients with fractures of shaft of humerus that met the criteria for operative interventions presenting to the Department of Orthopaedics, BPKIHS in the study period and giving informed consent were included in the study. Sample size was taken 30 in each group. Results: The usual mode of injury in both the groups were road traffiic accident followed by fall from height, work place injury. The operating time for nailing was 100 mins with standard deviation of 11.24 while that of humerus plating was 90.25 with standard deviation 15.6.The mean blood loss in nail group was 148.75 with standard deviation of 36.70 while that in plate group was 205.00 with standard deviation of 45.60. Post operative hospital stay was similar in both groups with mean stay of 4.5 days. DASH was significantly higher in plating group at 6,12,18 and 24 weeks follow up. This showed better functional outcome in nailing group. Conclusion: Dynamic compression plating is better than interlocking nail for fracture shaft of humerus. Keywords: shaft of humerus; interlocking nail; plate fixation DOI: http://dx.doi.org/10.3126/hren.v9i2.4974 Health Renaissance 2011: Vol.9 (No.2): 61-66

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The effect of intact fibula on functional outcome of reamed intramedullary interlocking nail in open and closed isolated tibial shaft fractures: A prospective study

Indian Journal of Orthopaedics ◽

10.4103/0019-5413.177584 ◽

2016 ◽

Vol 50 (2) ◽

pp. 201 ◽

Cited By ~ 2

Author(s):

SMuthukumar Balaji ◽

PMadhu Chandra ◽

Sathish Devadoss ◽

A Devadoss

Keyword(s):

Prospective Study ◽

Functional Outcome ◽

Tibial Shaft ◽

Interlocking Nail ◽

Shaft Fractures ◽

A Prospective Study ◽

Tibial Shaft Fractures

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Functional outcome of metaphyseal and diaphyseal fractures of tibia treated with expert tibial interlocking nail: A prospective study

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2019.v5.i1a.10 ◽

2019 ◽

Vol 5 (1) ◽

pp. 48-52

Author(s):

Dr. Prashant B Kenganal ◽

Dr. Ashok R Nayak ◽

Dr. Abhinav Kumar

Keyword(s):

Prospective Study ◽

Functional Outcome ◽

Interlocking Nail ◽

Diaphyseal Fractures ◽

A Prospective Study

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Comparative study of functional outcome of dynamic compression plating with intramedullary interlocking nailing in close fracture shaft of humerus in adults

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20172881 ◽

2017 ◽

Vol 3 (4) ◽

pp. 828

Author(s):

Yash B. Rabari ◽

D. V. Prasad ◽

Ashish M. Somanni ◽

Pushpak Kumar

Keyword(s):

Functional Outcome ◽

Road Traffic ◽

Dynamic Compression ◽

Early Mobilization ◽

Interlocking Nail ◽

Interlocking Nailing ◽

Major Mode ◽

Significant Difference ◽

Compression Plating ◽

Dynamic Compression Plating

Background: Humeral shaft includes 1% of all fractures. The advantage of operative management is early mobilization and patients comfort. Most of the studies compare two main modalities of management, 1. dynamic compression plate 2. intramedulary interlocking nail, with respect to fracture union as major criteria. Very few studies have compared functional outcome with respect to shoulder and elbow joint. The purpose of this study is to compare the outcomes of each method of fixation. (Dynamic compression plating and interlocking nailing) for the fracture shaft of humerus and to analyse statistically significant difference in the results of these two methods.Methods: There were 58 patients of fracture shaft humerus were enrolled during 2 May 2015 to 2 January 2017 in the study. They were randomly divided into two groups, DCP group and IMILN group, each having 29 patients and compare the functional outcome of both groups with each other.Results: There were total 53 patients among them 26 (49.05%) treated with DCP and 27 (55.95%) treated with intramedullary interlocking nail (IMILN).The mean age of patient treated with DCP was 40.12 years (SD±8.51, Min-Max: 25-60) and treated with IMILN was 41.96 years (SD±11.04, Min-Max: 22-61). Road traffic accident was major mode of injury to shaft of humerus.Conclusions:Dynamic compression plating is preferable technique than interlocking nailing for fracture shaft of humerus in adults.

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DOES CLOSED INTRAMEDULLARY INTERLOCKING NAILING IN PATIENTS WITH HUMERAL SHAFT FRACTURES HAS ADVANTAGES: EVALUATION THROUGH A CLINICAL STUDY

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2017.v10i3.16439 ◽

2017 ◽

Vol 10 (3) ◽

pp. 434

Author(s):

Sai Pavan Kumar Murari ◽

Nagam Chandra Keerthi ◽

Anirudh Phani Bhargav K ◽

Shanthan Palvai Reddy

Keyword(s):

Functional Outcome ◽

Traffic Accident ◽

Road Traffic ◽

Good Clinical Outcome ◽

Superficial Infection ◽

Shoulder Stiffness ◽

Interlocking Nail ◽

Post Operative Period ◽

Fracture Consolidation ◽

Indirect Injury

ABSTRACTObjective: Intramedullary interlocking nail fixation (IINF) for the fracture shaft humerus (FSH) offers good clinical outcome. Evaluating the functionaloutcome of IINF in FSH and assessing the complications of the technique, time taken for fracture consolidation, and union rates were the objectives.Methods: Adult patients with a clinical diagnosis of diaphyseal fracture of humerus were assessed clinically and radiologically for the functionaloutcome of IINF in FSH. Functional outcome of shoulder and elbow considered together was graded as excellent, moderate, and poor. Daily assessmentwas done along with active physiotherapy. All were followed up at monthly intervals for 6-12 months or till the union of fracture. Radiologicalassessment was done at immediate post-operative period, at months 1, 3, 6, 9, and 12 months.Results: 30 patients (males n=24, 80%) with a mean(±standard deviation) age of 39(±13.31) years were included. Road traffic accident was thefrequent cause (n=18, 60%). Indirect injury was the cause in 66.66% patients. Middle 1/3rd of shaft of humerus was fractured in 53.33% patients.10 (33.3%) patients each had oblique fracture and transverse fracture, respectively; comminuted fracture was seen in another 26.6% patients. Radialnerve palsy (10%) was the frequent associated injury of the total nine. The overall functional outcome was excellent in 80%, moderate in 16.6%, andpoor in 3.3% patients. Postoperatively, nonunion, superficial infection and shoulder stiffness was seen in one patient each.Conclusion: IIFN is an excellent, least invasive surgical option for FHS with early fracture consolidation and better union rates.Keywords: Fracture shaft humerus, Functional outcome, Intramedullary interlocking nail fixation, Nonunion, Shoulder stiffness, Superficial infection.

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Surgical management of diaphyseal fracture of femur with closed intramedullary interlocking nail

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20193131 ◽

2019 ◽

Vol 5 (5) ◽

pp. 879

Author(s):

B. S. Vijaya Kumar

Keyword(s):

Functional Outcome ◽

Femur Fracture ◽

Functional Results ◽

Medical Emergency ◽

Research Centre ◽

Age Group ◽

Medical Sciences ◽

Interlocking Nail ◽

Group 12 ◽

Number Of Patients

Background: A femoral fracture is a bone fracture that involves the femur. They are typically sustained in high-impact trauma, such as car crashes, due to the large amount of force needed to break the bone. The objective of the study was to evaluate the functional outcome of fractures of the shaft of the femur treated with closed intra-medullary interlocking nailing.Methods: The present study was carried out between June 2015 to May 2016 in Orthopedic Department, Vydehi institute of medical sciences and research centre, Bengaluru. Antegrade nailing using the standard intramedullary interlocking nail was performed on 50 cases who presented with shaft fractures of the femur.Results: In the present study maximum number of patients belongs to 18 to 27 years age group (24 cases) followed by 28 to 37 years age group (12 cases), maximum number of patients sustained femur fracture due to RTA (42 cases) followed by fall (08 cases), maximum number of patients sustained closed/simple femur fracture (40 cases), followed by open / compound tibia fracture (10 cases), 32 patients had excellent functional results and 10 patients had good functional outcome, while only 5 patients had fair functional outcome.Conclusions: A femur fracture is always considered a medical emergency requiring immediate evaluation and treatment in a hospital. The treatment is largely dependent on the location of the fracture and the pattern and extent of the break.

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A study of functional outcome of femoral diaphyseal fractures by closed reduction and internal fixation using intramedullary interlocking nail in adults

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2019.v5.i1c.25 ◽

2019 ◽

Vol 5 (1) ◽

pp. 132-138

Author(s):

Dr. Deepak CD ◽

Dr. Chethan BA BA

Keyword(s):

Internal Fixation ◽

Functional Outcome ◽

Closed Reduction ◽

Interlocking Nail ◽

Diaphyseal Fractures

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A prospective comparative study between interlocking nail and locking compression plate for management of diaphyseal fractures of the humerus

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20203055 ◽

2020 ◽

Vol 6 (5) ◽

pp. 926

Author(s):

Mallesh Rathod ◽

Sandeep Kumar Kanugula ◽

Pannuri Raja

Keyword(s):

Comparative Study ◽

Internal Fixation ◽

Functional Outcome ◽

Reoperation Rate ◽

Locking Compression Plate ◽

Interlocking Nail ◽

Operation Rate ◽

Compression Plate ◽

Prospective Comparative Study ◽

Diaphyseal Fractures

Background: The aim of this study was to compare the outcomes between open reduction and internal fixation by locking compression plate (LCP) and closed reduction and internal fixation with anterograde interlocking nail (ILN) for the treatment of diaphyseal fractures of the humerus.Methods: This is a prospective comparative study, with diaphyseal fractures of the humerus treated by LCP in 30 patients and with ILN in 30 patients. Patients were followed up to 18 months. The clinical and radiographic outcomes were assessed in terms of union, complications, reoperation rate and functional outcome using the American shoulder and elbow surgeons’ score (ASES) and Stewart and Hundley’s criteria.Results: Union was achieved in 93.3% of patients in LCP group and 90% in ILN group. The mean blood loss in LCP group was 280±22.10 ml (160-400 ml) and in ILN group was 110±17.62 ml (70-150 ml) (p=0.001). The ASES score was 42.47±5.532 in LCP group and 40.93±6.330 in nailing group (p=0.320; p>0.05). Stewart Hundley criteria showed excellent and good results in 26/30 and 17/30 patients in LCP group and ILN group respectively (p=0.070; p>0.05). Complications and re-operation rate were higher in ILN group.Conclusions: Our study concludes that LCP can be considered a better surgical option for the management of diaphyseal fractures of the humerus as it had lower incidence of complications, less re-operation rate and better union rate. However, there is no difference between the two groups in terms of union time and functional outcome.

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