Comparative Study of Functional Outcome of Compression Plating and Interlocking Nailing For Fracture Shaft Humerus in Adults
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 2
Abstract
Aim: The aim of our study is to find the dif erence between the functional outcome between the dynamic compression plating (DCP) and the intramedullary interlocking nailing in diaphyseal fractures of the humerus in adults, as measured by the DASH questionnaire, the mean duration of union and associated complications. Materials and Methods: From November 2012 to November 2014, 38 patients with diaphyseal fractures of the humerus were treated with compression plating using dynamic compression plate or with intramedullary interlocking nail after randomizing with the help of computer generated list. Postoperatively both groups received same type of physiotherapy (mobilization). They were followed up regularly every two weeks until radiological union. The time taken for radiological union in the two groups was compared. After satisfactory radiological union, the functional outcome was assessed by the “Disabilities of Hand, Shoulder and Elbow (DASH)” Questionnaire. Results: Primary radial nerve palsy was seen in 3 patients, out of which 2 patients recovered completely. Associated injuries were seen in 20 patients. The functional outcome was better in DCP group compared to interlocking nailing group which was statistically significant (P= 0.024). A marginal dif erence was noted in the time taken for union. The average time taken for union in the DCP group was 16.06 weeks and in the interlocking group it was 14.05 weeks. The average time for union in all the 34 patients was 15.05 weeks. Two fractures treated with DCP remained un-united. The complication associated with interlocking group was more than the DCP group. Conclusion: We are of the opinion that when surgery is opted as a choice of treatment, both the modalities of treatment i.e. dynamic compression plating and interlocking nailing are good as far as union of the fracture is concerned, but considering the number of complications and functional outcome, we opine that dynamic compression plating offers better result than antegrade interlocking nailing with respect to pain and function of the shoulder joint. We therefore conclude that in cases where both dynamic compression plating and antegrade interlocking nailing can be done, we would prefer to use dynamic compression plating, as the results are better than antegrade interlocking nailing.
Authors and Affiliations
Dr. Akshay H. Shah
Keywords
Related Articles
- EP ID EP210674
- DOI -
- Views 53
- Downloads 0
A Case Series Showing Mimics of Hydatid Cyst and Other Clinicopathological Implications
Introduction: Hydatid cyst is a chronic parasitic infection in humans caused by echinoccocus species. In India highest prevalence is seen in regions like Gujarat, Andhra Pradesh and Tamil Nadu. Most common sites for hyda...
The influence of transport and irradiation on the longevity of male Aedes aegypti (Diptera: Culicidae)
Transport of sterile male mosquitoes from the location of irradiation to the release area possibly affects survival and mating competitiveness. The aim of the current research was to determine the influence of transporti...
ImmunoComb II Test in Detection of HCV Antibodies in Oral Fluid
Objectives: a suitable, affordable, rapid and accurate test for HCV may be helpful in various clinical settings. The aim of the work is to evaluate the sensitivity, specificity and accuracy of ImmunoComb II HCV test in d...
Role of Ultrasonography (TVS) to Increase Number of Vaginal Birth after Cesarean (VBAC & TOLAC)
Aim: To evaluate the efficacy of Transvaginal Sonography (TVS) to measure the thickness of scarred Lower Uterine Segment (LUS) in antenatal women at term and it association with obstetrical outcome. Methods: This prospec...
Estimation of Hemoglobin and Hematocrit Values in Postmenopausal Women
Background: Menopause is associated with several physiological variations in the body. It has significant effect on the biologically important constituents of plasma including blood counts. Objective: To estimate the hem...