Shaft Humerus Fractures Treated with Interlocking Nails Vs Dynamic Compression Plate - A Comparative Study
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 7, Issue 1
Abstract
Background: Fractures of shaft humerus are very common. This study was conducted to assess the outcome of this fracture by two most common mode of treatment that is open reduction internal fixation with DCP and Close Humerus interlocking nail. Methods: Shaft humerus fractures account for approximately 2 to 3 % of all fractures and are commonly encountered in clinical practice. Many can be managed conservatively and those that are operated can be treated by either plating or nailing techniques. Results: This study was done to compare the two commonly performed surgical techniques. 60 patients who were admitted with fracture shaft of humerus and given operative treatment were studied for functional outcome, radiological outcome and complications of the procedure. 30 of these patients were treated with ORIF with Dynamic Compression plates and the remaining 30 were treated with CRIF with IMIL nails Follow up showed a statistically significant difference in the operative time, operative blood loss and hospital stay postsurgery all in favour of the IMIL nail group. Functional outcome in both the groups was comparable except for a statistically significant increase in the incidence of shoulder related complications, and increased risk of implant failure in the IMIL nail group. No significant difference was seen in the radiological outcome between the groups. Conclusion: We concluded both humerus interlocking nail & dynamic compression plating has their own advantages & disadvantages and so can be used with equal preference.
Authors and Affiliations
Mohd Abdul Naser, Ritesh Pathak, Athar Ahmad
Keywords
Related Articles
- EP ID EP414104
- DOI -
- Views 58
- Downloads 0
Shaft Humerus Fractures Treated with Interlocking Nails Vs Dynamic Compression Plate - A Comparative Study
Background: Fractures of shaft humerus are very common. This study was conducted to assess the outcome of this fracture by two most common mode of treatment that is open reduction internal fixation with DCP and Close Hum...
Plating of fibula in the management of distal metaphyseal tibial and fibular fractures - A prospective study
The tibia is exposed to frequent injury. Distal tibial metaphyseal fractures are often the result of high-energy trauma, usually associated with distal fibular fractures. The presence of the ankle joint allows rotatory d...
Serum calcium level – A sensitive predictor of risk of fragile hip fracture in elderly Indian population
Background: Skeletal system is considered to be the internal construct of the human body and Calcium is the major component of it. Calcium exists as insoluble inorganic salts with phosphorous in the bone, aiding the mine...
Prevention of venous thromboembolism in major lower limb orthopaedic surgery using aspirin: A retrospective cohort study
We did a retrospective cohort study using prospectively collected data of consecutive 993 patients undergoing major orthopaedic lower limb surgery including all hip and knee primary and revision arthroplasties, acetabulu...
Postpartum pubic separation over 5 cm, in 28 yr old female, treated by stainless steel (SS) wiring through obturator foramen
The post partum pubic symphysis separation is an uncommon complication after term vaginal delivery. It occurs more commonly due to manual pressure applied to the pelvis in a latero-lateral and antero-posterior direction...