Comparative study of Dynamic compression plate versus Interlocking nail in treatment of fracture of shaft of humerus
Journal Title: International Journal of Medical and Health Research - Year 2018, Vol 4, Issue 3
Abstract
Surgical fixation of a fracture of the shaft of humerus can be achieved by Plating or Nailing. Plating provides satisfactory result, but requires extensive dissection, and meticulous radial nerve protection. The theoretical advantage of intramedullary nailing included less invasive surgery, an undisturbed fracture hematoma and use of a load sharing device support. This study compares the two more commonly used interventions: locking/dynamic compression plating and locked intramedullary nailing. Patients admitted were randomly assigned to either ILN group (Group A) or DCP group (Group B). In group a, internal fixation with interlocking nail done. In the plating group (Group B), fixation was done with 4.5 mm dynamic/locking compression plates using either anterolateral or posterior approach. All the cases were regularly followed up. Functional outcome is determined on the basis of disability arm shoulder and hand score (DASH). Union was present in 18 (90%) patients in the ILN group whereas in the DCP group, union was present in the 17 (85%) patients. Average union time is 7.83 with standard deviation of 1.54 weeks in the ILN group and 8.64 with standard deviation of 1.96 weeks in the DCP group. DASH score for the ILN group is 33.74 with standard deviation of 14.18 whereas it is 27.66 with standard deviation of 10.32 in the DCP group. The DASH score of the two groups is statistically insignificant (p >.05). Both the modalities of treatment are good as far as union of the fracture is concerned, but considering the rate of complications we concluded that dynamic compression plating offers better result than interlocking nailing with respect to pain and function of the shoulder joint.
Authors and Affiliations
Dr. Pappu Marandi, Dr. Amar kumar, Dr. RN Suman
Keywords
Related Articles
- EP ID EP584734
- DOI -
- Views 109
- Downloads 0
Factors infleuecing the oral mucositis in the patients undergoing radiotherapy for head and neck cancer-an institutional based study
Background: Tobacco use in various forms, heavy alcohol consumption and poor diet causes over 90% of head and neck cancers. Bidi smoking is the most popular form of tobacco consumption in 54% cases and is the most common...
E-health applications in mobile phones (m-health): Greek university students’ views on m-health applications
This article analyzes the functions and the benefits of e-health applications in mobile phones. More specifically, the present study investigates and measures the impact of e-health applications on University students’ e...
Designing and evaluating a questionnaire for assessing job satisfaction of dentists
Aims and Objectives: The purpose of this study was to design a standard questionnaire for assessing job satisfaction of dentists. Materials and Methods: In order to prepare the questions bank, we reviewed the available r...
A review on laryngeal mask airway applications and limitations
LMA is a widely used supraglottic air-way management device for anesthesia and airway support therapy for difficult-breathing in patients. LMA are significantly a primary choice for management of difficult airway in both...
Role of multislice CT in evaluation of anatomical variations of osteomeatal complex in chronic sinusitis
Objective: To study the frequency and types of anatomical variants of osteomeatal complex on Computed Tomography scan in clinically diagnosed chronic sinusitis patients. Materials and Methods: A prospective study was don...