Volume : V, Issue : IV, April - 2015

A Comparative Study of Management of Fracture Shaft of Humerus by Dynamic Compression Plate and Interlock Nailing

Dr. Sarvesh S. Sawant, Dr. Sanjay N. Patil, Dr. Vilas Jog, Dr. Abhijit P. Gholap, Dr. Harshil J. Vora

Abstract :

 Background and Objectives: Fracture of the shaft of humerus is common and there is a debate regarding 

the choice of operative intervention, which include Intramedullary Nailing (IMN) and Dynamic Compression Plate (DCP). The aim of this study is to find the difference between the functional outcome between the DCP and 
the IMN in diaphyseal fractures of the humerus in adults. 
Materials and Methods: This is prospective randomized controlled trial of 30 patients. All patients had closed fractures 
shaft humerus and were treated with either DCP or with IMN. The time taken for radiological union in the two groups 
was compared, complications were observed and, the functional outcome was assessed by the “Disabilities of Hand, 
Shoulder and Elbow (DASH) Questionnaire”. 
Results: The functional outcome was better in DCP compared to interlocking nailing. The mean DASH score in DCP 
was 20.93 and in IMN group was 32.13, which was statistically significant(p=0.048). Primary radial nerve palsy was seen 
in 2 patients of DCP group and 1 patient of IMN group of which 1 patient of DCP group and 1 patient of IMN group 
recovered completely. The average time taken for union in the DCP group was 14.5 weeks which was significantly 
lesser than in the interlocking group, where it was 17.31 weeks(p=0.001). Two fractures (6.66%) treated with IMN remained ununited. The functional outcome was better in patients treated with DCP than IMN. The complication associated with interlocking group were more than the DCP group.
Conclusion: Both the modalities of treatment are good as far as union of the fracture is concerned, but considering the 
number of complications and functional outcome, we found that DCP offers better result than IMN with respect to pain 
and function of the shoulder joint. 

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Sarvesh S. Sawant, Dr. Sanjay N. Patil, Dr. Vilas Jog, Dr. Abhijit P. Gholap, Dr. Harshil J. Vora A Comparative Study of Management of Fracture Shaft of Humerus by Dynamic Compression Plate and Interlock Nailing Indian Journal of Applied Research, Vol.5, Issue : 4 April 2015


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