COMPARATIVE STUDY BETWEEN THE DYNAMIC COMPRESSION PLATING (DCP) AND THE INTRAMEDULLARY INTERLOCKING NAILING IN DIAPHYSEAL FRACTURES OF THE HUMERUS IN ADULTS

2021 ◽  
pp. 43-45
Author(s):  
Nilabh Kumar ◽  
Laljee Chaudhary ◽  
Debarshi Jana
Keyword(s):  
Functional Outcome ◽  
Dynamic Compression ◽  
Interlocking Nailing ◽  
Diaphyseal Fractures ◽  
The Difference ◽  
And Function ◽  
Dash Questionnaire ◽  
Radiological Union ◽  
Compression Plating ◽  
Dynamic Compression Plating

AIMS: The aim of our study was to nd the difference between the mean duration of union and functional outcome between the dynamic compression plating (DCP) and the intramedullary interlocking nailing in diaphyseal fractures of the humerus in adults. MATERIALS AND METHODS: From May 2019 to October 2019, 34 patients with diaphyseal fractures of the humerus were treated with compression plating using dynamic compression plate or with intramedullary interlocking nail. The time taken for radiological union in the two groups was compared. After satisfactory radiological union, the functional outcome was assessed by the “Disabilities of Hand, Shoulder and Elbow (DASH) Questionnaire”. RESULTS: All fractures united and a marginal difference was noted in the time taken for union. The functional outcome was better in DCP group compared to interlocking nailing group which was statistically signicant (P= 0.010). The complication associated with interlocking group was more than the DCP group. We are of the opinion that when surgery is opted as a choic CONCLUSION: e of treatment, both the modalities of treatment i.e. dynamic compression plating and interlocking nailing are good as far as union of the fracture is concerned, but considering the number of complications and functional outcome, we opine that dynamic compression plating offers better result than antegrade interlocking nailing with respect to pain and function of the shoulder joint.

scholarly journals A prospective randomised control study on dynamic compression plating versus intra medullary interlocking nailing in humeral diaphyseal fractures

2021 ◽  
Author(s):  
Muhammed Junaid Abdul ◽  
Jojin Jose Chitten ◽  
Ramasamy Balasubramaniam ◽  
Rajamohan Rajesh
Keyword(s):  
Functional Outcome ◽  
Dynamic Compression ◽  
Humeral Shaft ◽  
Dash Score ◽  
Interlocking Nailing ◽  
Significant Difference ◽  
Diaphyseal Fractures ◽  
Control Study ◽  
Compression Plating ◽  
Dynamic Compression Plating

<p class="abstract"><strong>Background:</strong> Surgical fixation of humeral shaft fractures generally involves plating or nailing. Despite the extensive literature comparing outcomes after open reduction with internal fixation (ORIF) with plating and interlocking intramedullary nailing (ILIMN) for acute humeral diaphyseal fractures, the superior treatment strategy still remains controversial. The purpose of this study was to compare the functional outcome of each method of fixation (dynamic compression plating and interlocking nailing) for the shaft of humerus fracture and to analyse statistically significant difference in the results of these two methods in terms of functional outcome, rate of healing and complications.</p><p class="abstract"><strong>Methods:</strong> We conducted a prospective randomized control study and evaluated the results of 50 patients having humeral shaft fracture which were internally fixed with antegrade interlocking nailing (25 patients) and dynamic compression plating (DCP) plate (25 patients). Patients were followed up on average of 11.4 months and their radiological outcomes were assessed with plain radiography and with DASH score.<strong></strong></p><p class="abstract"><strong>Results:</strong> The plating group had statistically significant faster radiological healing and better DASH score compared to nailing group. Also, postoperative complication rate was higher in ILN group which was statistically significant.</p><p class="abstract"><strong>Conclusions:</strong> ORIF with DCP provides better results in terms of good functional outcome, faster radiological union and less post-operative complications compared to ILIM nailing.  Hence, we concluded that plating is a superior option than nailing.</p>

scholarly journals A prospective comparative study of functional outcome in patients treated with interlocking nailing and dynamic compression plating for fracture shaft of humerus in adults

2021 ◽  
Vol 7 (4) ◽  
pp. 786
Author(s):  
Prashant Bhutani ◽  
Nikhil Gupta ◽  
Rahul D. Pujara
Keyword(s):  
Functional Outcome ◽  
Dynamic Compression ◽  
Shaft Fracture ◽  
Humeral Shaft Fracture ◽  
Interlocking Nailing ◽  
Good Functional Outcome ◽  
Group A ◽  
Group B ◽  
Compression Plating ◽  
Dynamic Compression Plating

<p><strong>Background: </strong>Aim of the study was to compare the functional outcome in patients with fracture shaft of the humerus treated with dynamic compression plating (DCP) and those treated with intramedullary interlocking nailing.</p><p><strong>Methods: </strong>Of 44 patients with humeral shaft fracture were included in this study and were divided in the following two groups of 22 patients: Group A: Patients treated with DCP by triceps splitting approach and group B: Patients treated with standard intramedullary interlocking nailing. All patients were followed up at 6 weeks, 3 months and 6 months post operatively. Functional outcome was assessed using Rodriguez-Merchan criteria on follow up at 6 months post op.</p><p><strong>Results: </strong>The mean age of patients in group A was 39.05±13.13 years and group B was 38.73±12.95 years. According to Rodriguez-Merchan criteria, 8 (36.4%) and 12 (54.6%) patients in group A had excellent and good functional outcome respectively and 4 (18.2%) and 10 (45.4%) patients in group B had excellent and good functional outcome respectively.</p><p><strong>Conclusions: </strong>DCP offers better functional outcome than interlocking nailing.</p>

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

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

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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.<strong></strong></p><p class="abstract"><strong>Results:</strong> 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.</p><strong>Conclusions:</strong>Dynamic compression plating is preferable technique than interlocking nailing for fracture shaft of humerus in adults.<p> </p>

scholarly journals Functional outcome of dynamic compression plating compared with intramedullary interlocking nailing in closed fracture shaft of humerus in adults.

2020 ◽  
Vol 27 (04) ◽  
pp. 765-771
Author(s):  
Muhammad Faraz Azmatullah ◽  
Maratib Ali ◽  
Adeel Ahmed Siddiqui ◽  
Uzair Yaqoob
Keyword(s):  
Functional Outcome ◽  
Dynamic Compression ◽  
Dash Score ◽  
Closed Fracture ◽  
Interlocking Nailing ◽  
Group I ◽  
Prospective Comparative Study ◽  
Post Traumatic ◽  
Compression Plating ◽  
Dynamic Compression Plating

Objectives: To compare the functional outcome of dynamic compression plating with intramedullary interlocking nailing in closed fracture of the humeral shaft in adults. Study Design: Prospective comparative study. Setting: Department of orthopedics, Civil hospital, Karachi. Period: From 8th February to 7th August 2017. Material & Methods: A total of 82 patients with post-traumatic closed fracture shaft of the humerus were included. Patients were randomly allocated into two groups. Group I was offered Intramedullary Interlocking nail (ILN) and Group II was offered a dynamic compression plate (DCP). The functional outcome was measured by the “Disabilities of Arm, Shoulder and Hand” (DASH) score. Results: The average age of the patients was 32.87±6.65 years. The acceptable outcome was significantly high in DCP group as compared to the ILN group (87.8% vs. 61%; p = 0.005). Conclusion: We conclude that dynamic compression plating is functionally a better technique than interlocking nailing for closed fracture of shaft of the humerus in adults.

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