scholarly journals Study of functional outcome of humerus shaft fracture in adults treated with dynamic compression plating

2012 ◽  
Vol 39 (3) ◽  
pp. 114 ◽  
Author(s):  
SameerM Haveri ◽  
D Maheswarappa
Keyword(s):  
Functional Outcome ◽  
Dynamic Compression ◽  
Shaft Fracture ◽  
Humerus Shaft Fracture ◽  
Humerus Shaft ◽  
Compression Plating ◽  
Dynamic Compression Plating

scholarly journals A comparative study of operative dynamic compression plating versus non-operative management in fracture shaft of humerus

2020 ◽  
Vol 6 (2) ◽  
pp. 374
Author(s):  
Naren Gaur ◽  
Naveen Kumar Singh
Keyword(s):  
Comparative Study ◽  
Functional Outcome ◽  
Operative Treatment ◽  
Dynamic Compression ◽  
Operative Management ◽  
Shaft Fracture ◽  
Nonoperative Treatment ◽  
Humerus Shaft ◽  
Compression Plating ◽  
Dynamic Compression Plating

<p class="abstract"><strong>Background:</strong> Fracture shaft of humerus is among injuries which is commonly seen in clinical practice and frequently seen in polytrauma. Humerus   shaft fractures account for 3% of all orthopedic injuries. Nonoperative treatment had been the mainstay of treatment for fracture shaft of humerus earlier. The association of conservative treatment with some morbidity, complications and prolonged immobilization leads to increase in various operative modalities of management. One of the commonly used operative modality is dynamic compression plating (DCP). In view of above considerations, a study was undertaken at our hospital which aimed to compare non-operative treatment with operative DCP for the management of fracture shaft of humerus. Aims and objectives of this study to compare the results of non-operative versus operative treatment of humerus shaft fracture.</p><p class="abstract"><strong>Methods:</strong> It was a prospective comparative study. Total 40 patients were taken for this study. 20 patients for operative and 20 patients for non-operative. Functional outcome was measured by the DASH scoring. P&lt;0.05 was considered statistically significant. <strong></strong></p><p class="abstract"><strong>Results:</strong> Among the 40 patients 14 had excellent results, 12 had good, 8 had fair and 6 had poor results. Functional outcome scores were better for operative group as compared to non- operative group with p&lt;0.0001.  </p><p class="abstract"><strong>Conclusions:</strong> Dynamic compression plating of humerus is better method than conservative method because it achieves higher union rates.</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 A prospective study on clinical outcome of humerus shaft fracture and nonunion treated with antero medial plating

2019 ◽  
Vol 6 (1) ◽  
pp. 158
Author(s):  
Deepak Kaki ◽  
Naveen Babu Thalambedu ◽  
Sunil Malagan ◽  
Karthik Gudaru ◽  
Jagadesh Gudaru
Keyword(s):  
Prospective Study ◽  
Functional Outcome ◽  
Anterior Approach ◽  
Shaft Fracture ◽  
Dash Score ◽  
Non Union ◽  
Shaft Fractures ◽  
Humerus Shaft Fracture ◽  
A Prospective Study ◽  
Humerus Shaft

<p class="abstract"><strong>Background:</strong> Humeral shaft fractures have an incidence of 13 per 100000 per year and account for 3% of total fractures. The following study is carried out with intention for determining and verifying facts around plate osteosynthesis on anteromedial surface of humerus through anterior approach.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study of 38 patients presenting with humerus shaft fracture and non-union to the Balaji Institute of Surgery Research and Rehabilitation for the Disabled (BIRRD) from April 2015 to March 2016.<strong> </strong>Inclusion criteria<strong> </strong>were age&gt;18 years, acute humerus shaft fractures and nonunion of humerus shaft. Exclusion criteria were undisplaced fractures, fractures associated with neurovascular injury, compound and pathological fractures, infected non unions. The functional outcome was graded based on the QuickDASH score. Fisher’s exact test was used to find the association between categorical data.<strong></strong></p><p class="abstract"><strong>Results:</strong> Clinical union was noted in 87% of the patients and radiological union in 74% at the end of three months. The average time period required to achieve union was 13.57 weeks. Based on Quick DASH score, 66% of them had excellent outcome, 24% had good outcome, 10% had fair outcome, and none had poor outcome.</p><p class="abstract"><strong>Conclusions:</strong> It may be concluded that, anteromedial plating through anterior approach for the treatment of humerus shaft fractures and non union leads to a satisfactory functional outcome in most of the patients. Most of the fractures were united by 3 months with good range of motion of shoulder and elbow.</p>

scholarly journals Functional Outcome of Shaft of Humerus Fractures Managed Surgically by Dynamic Compression Plating Technique

2021 ◽  
pp. 101-104
Author(s):  
Midhun Krishnan
Keyword(s):  
Functional Outcome ◽  
Plate Osteosynthesis ◽  
Dynamic Compression ◽  
Dynamic Compression Plate ◽  
Non Union ◽  
Compression Plate ◽  
Male Preponderance ◽  
Humerus Fractures ◽  
Compression Plating ◽  
Dynamic Compression Plating

The study analyzed 20 cases of fracture shaft of hummers treated with Dynamic Compression Plate. There was a male preponderance in our study 17 (85%). Almost Also 13% of patients treated by functional bracing end up with cosmetically unacceptable angulation of>15%, whereas all operative procedures achieve good alignment of the fractured bone was observed. The rate of union in Plate osteosynthesis is 93% and the time of union is 16 - 20 weeks, and more than 90% united in 18 weeks and 7% went for non union.

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 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>

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