Surgical Outcome Of Humeral Shaft Fractures Fixation With Antegrade Interlocking Nailing Versus Plating: A Retrospective Analysis
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 1
Abstract
Background Conventionally humerus shaft fractures have been treated non-operatively. With advent of internal fixation orthopaedic surgeons have been divided into plating and nailing group. Choice of implant for internal fixation of humerus shaft fractures remains controversial. Material and methods Thirty eight patients with humerus shaft fractures with minimum follow-up of 12 months (12- 24 months) were included in this multicentric retrospective study. Ninteen patients each were operated with plating and with antegrade interlocking nail. Patients were evaluated both clinically and radiographically. Results Patient with interlocking nailing group required more number of secondary procedures to achieve union. More importantly, there was high incidence of iatrogenic comminution and shoulder complications in interlocking nailing group. Conclusions We favour plating over nailing for internal fixation of these fractures. With plating there is better preservation of joint function and comparatively faster union. Interlocking nailing causes deterioration of shoulder function and iatrogenic comminution.
Authors and Affiliations
Ashwini K Sharma, Manish K Rajpoot, Mashu Shrivastava
Keywords
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