Comparative study of radiological and clinical outcomes by using single and double interlocking distal screws for humerus shaft fractures
Journal Title: Surgical Update: International Journal of Surgery and Orthopedics - Year 2018, Vol 4, Issue 4
Abstract
Background: The aim of this study was to make a comparative analysis of radiological and clinical outcomes of using either one or two interlocking distal screws on ahumerus intramedullary nail for the internal fixation of humeral shaft fractures. Methods: From April 2010 to April 2015, 30 patients were enrolled with humeral shaft fractures who were operated on using intra medullary humerus nails. The patients were divided into 2 groups according to how many interlocking distal screws were used to lock the humerus nail: in group 1, a single interlocking distal screw was used in 16 patients; and in group 2, double interlocking distal screws, in 14 patients. We compared the degree of recovery of the displaced fracture fragments between the two groups. Shoulder function of patients wereassessed by modified American Shoulder and Elbow Surgeons (ASES) score. Results: We found that 15 (93.7%) fractures achieved union in group 1, and 13 (92.8%) of fractures, in group 2. There was no meaningful difference in the time to bone union and the recovery of displaced fracture fragments between the two groups. At the final follow-up, we found that the scores for shoulder joint modified ASES was 76.2 for group 1 and 79. 1 for group 2. Conclusions: This study shows that if locked appropriately, even a single screw on a humerusnail can provide satisfactory radiological union and improved clinical outcome after intramedullary nailing of humeral shaft fractures.
Authors and Affiliations
Shirish V. Tumbal, Milind M. Joshi
Keywords
Related Articles
- EP ID EP498145
- DOI 10.17511/ ijoso.2018.i4.04
- Views 108
- Downloads 0
Comparative evaluation of hydrogel dressing with conventional dressing in diabetic foot ulcers
Introduction: Diabetic foot is a common problem in this part of the country. In patients with diabetic foot and pressure ulcers, early intervention with biological therapy will either halt progression or result in rapid...
Reliability of goniometry to determine the hip range of motion
Purpose: The purpose of this study was to determine the intra-tester and inter-tester reliability of goniometric measurements when measuring the hip joint. Also this study aimed at determining the validity and reliabilit...
Study of association between cholelithiasis and ABO blood group
Introduction: The findings of Arid et al in 1953 regarding association between carcinoma of stomach and B blood group and then again in 1954 regarding association between peptic ulcer and O blood group opened a new appro...
A study on uterine and vaginal arteries and their clinical significance
Background: The anterior division of the internal iliac artery usually gives origin to the uterine artery and vaginal artery in common. Uterine artery travels in cardinal ligament to reach uterus by crossing the ureter a...
A prospective observational study to compare the efficacy and safety of spinal Vs general anesthesia for laparoscopic cholecystectomy
Background: Laparoscopic cholecystectomy is usually performed under General anesthesia, but in recent times many studies have proposed spinal anesthesia as a cost-effective alternative mode of anesthesia, specially for r...