Analysis and Outcomes of Plating Versus Nailing In Humerus Shaft Fractures: A Prospective Comparative Study

Indian Journal of Applied Basic Medical Sciences
Year: 2019, Volume: 21(A), Issue. (1), January
First page: (373) Last page: (400)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

Analysis and Outcomes of Plating Versus Nailing In Humerus Shaft Fractures: A Prospective Comparative Study
Gaurav Parikh1*, Pathik Vala2, Bhavik Dalal3, Ajay Devda4
1-4Assistant Professor, AMC MET medical college, Ahmedabad, Gujarat
Corresponding author email id: pathikvala88@gmail.com

Online Published on 02-Jan-2019

ABSTRACT

Background Fractures of the humeral shaft are commonly encountered by orthopaedic surgeons, accounting for approximately 3% of all fractures [20]. Treatment methods for these injuries continue to evolve as advances are made in both non-operative and operative management. It is generally agreed that most fractures of humeral shaft are treated best non-operatively, although there are indications for primary or secondary operative treatment in some situations [8, 18, 19]. The encouraging results that have been reported with recent advances in internal fixation techniques and instrumentation have led to an expansion of surgical indications for such fractures and a dilemma about the procedure of choice.Materials and methods A prospective, comparative study of management of acute humeral shaft fractures by antegrade interlocking nail fixation and dynamic compression plating was undertaken at our institution over a period of three years (November 2001 to November 2004). The average follow-up period was one year (range 10–24 months). An informed consent from patients and departmental permission were obtained according to local hospital regulations.Forty-five patients with closed acute humeral shaft fracture requiring operative intervention were treated with either interlocking nailing or plating procedures. A randomisation attempt was made by allocating each patient to either of the groups depending on the criteria of odd or even hospital number.In conclusion, no single treatment option is superior in all circumstances for a particular fracture and each case has to be individualised. Plating has been shown to have better overall results compared to the interlocking nails in treatment of closed humeral shaft fractures. A tendency for earlier union is seen with the plating group.

Keywords

non-operatively,orthopaedic,prospective, comparative study

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