Comparison between Interlock Nailing and Platting for Fracture Shaft Humerus
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 3
Abstract
Introduction: Fractures of the humeral shaft are common and accounts for 1-3% of all fractures and have bimodal distribution. study was planned to compare the outcomes of each method of fixation (dynamic compression plating and interlocking nailing) for the fracture shaft of humerus. Material and methods: This randomized interventional study was conducted in the Department of Orthopedic Surgery at Shri Vasantrao Naik Government Medical College and Hospital, Yavtmal, Maharashtra, between June 2012 to May 2014. Total 48 patients were surgically treated with either DCP or interlocking nailing between the above-mentioned study periods. The patients were followed up every second week till radiological union was seen. Patients were also assessed clinically. Results: In the present study, out of 48 patients 8 were lost to follow up and 2 patients expired leaving us with 38 patients with the distribution being 18 in DCP and 20 in interlocking group. Average time taken for radiological healing was 15.05 weeks. The healing rate was relatively faster in the interlocking group as compared to the DCP group. Complications were more in the interlocking group, which was statistically significant (p=0.009). Conclusion: Though interlocking intramedullary nailing is good for specific conditions like pathological fractures, segmental fractures or with associated lower limb fractures which require early weight bearing with crutch walking, we still consider DCP fixation is better than interlocking nailing in treating fractures of the diaphysis of the humerus.
Authors and Affiliations
Jay Rathod, Pravin Patil, Vijay Kanake, Umesh Kawalkar
Keywords
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