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
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