Volume : VII, Issue : VIII, August - 2017

Comparative study of humerus intramedullary interlocking nail and dynamic compression plate for the management of humerus diaphyseal fractures

Shashank Kumar Pal, Ajit Swamy, Nitin Wadhwa, Amber Kankane, Shivprasad Sangam

Abstract :

 Background: Plate and screw fixation  has always been the more common surgical treatment of humeral shaft fractures. However, intramedullary nailing (IMN) of the humerus has gained in popularity over the last two decades. So aim of this study was to compare the results of the humerus intramedullary nail and dynamic compression plate for the management of diaphyseal fractures of the humerus. Material and Methods: The sample is chosen depending on strict inclusion and exclusion criterion. In the available sample size of 60, of which 30 patients (group A) underwent open reduction and internal fixation with dynamic compression plate and remaining 30 patients (group B) underwent closed reduction and internal fixation with interlocking intramedullary nails. Results: There is no significant difference found in functional outcome between group A (Plating) and group B (nailing).Infection was not encountered in any of the cases due to strict adherence to surgical aseptic precautions and appropriate antibiotic. Conclusion: In our study there were no significant differences in the functional outcome measures in the two mentioned procedures. Hence both the procedures are safe with reliable results under appropriate surgical expertise. For patients requiring surgical treatment of a humeral shaft fracture, intramedullary nailing and compression plating both provide predictable methods for achieving fracture stabilization and ultimate healing.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Shashank Kumar Pal, Ajit Swamy, Nitin Wadhwa, Amber Kankane, Shivprasad Sangam, Comparative study of humerus intramedullary interlocking nail and dynamic compression plate for the management of humerus diaphyseal fractures, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾8 | August‾2017

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