Shaft Humerus Fractures Treated with Interlocking Nails Vs Dynamic Compression Plate - A Comparative Study
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 7, Issue 1
Abstract
Background: Fractures of shaft humerus are very common. This study was conducted to assess the outcome of this fracture by two most common mode of treatment that is open reduction internal fixation with DCP and Close Humerus interlocking nail. Methods: Shaft humerus fractures account for approximately 2 to 3 % of all fractures and are commonly encountered in clinical practice. Many can be managed conservatively and those that are operated can be treated by either plating or nailing techniques. Results: This study was done to compare the two commonly performed surgical techniques. 60 patients who were admitted with fracture shaft of humerus and given operative treatment were studied for functional outcome, radiological outcome and complications of the procedure. 30 of these patients were treated with ORIF with Dynamic Compression plates and the remaining 30 were treated with CRIF with IMIL nails Follow up showed a statistically significant difference in the operative time, operative blood loss and hospital stay postsurgery all in favour of the IMIL nail group. Functional outcome in both the groups was comparable except for a statistically significant increase in the incidence of shoulder related complications, and increased risk of implant failure in the IMIL nail group. No significant difference was seen in the radiological outcome between the groups. Conclusion: We concluded both humerus interlocking nail & dynamic compression plating has their own advantages & disadvantages and so can be used with equal preference.
Authors and Affiliations
Mohd Abdul Naser, Ritesh Pathak, Athar Ahmad
Keywords
Related Articles
- EP ID EP414104
- DOI -
- Views 61
- Downloads 0
A Study of Immediate Outcome of Caesarian Section in Primiparous Patients
Abstract: Introduction: The reasons for increased incidence of cesarean section in primiparous patients are obvious. Firstly, increased safety of this operation has widened the indications both maternal and fetal. Second...
A study of functional outcomes following cemented bipolar hemiarthroplasty for fracture neck of femur at Kodagu
Background: Fractures neck femurs are the most devastating injuries sustained by elderly population. The treatment goal s for femoral neck fractures are early return to a satisfactory functional status. Bipolar hemiarthr...
A study of functional outcomes following open redu ction and internal fixation of clavicle fractures at kodagu
Background: Fracture clavicle is a common bone injury due to its superficial location in the human body, making it one of the least-protected bones by muscle or fat. Fracture clavicle can be treated either conservatively...
Serum calcium level – A sensitive predictor of risk of fragile hip fracture in elderly Indian population
Background: Skeletal system is considered to be the internal construct of the human body and Calcium is the major component of it. Calcium exists as insoluble inorganic salts with phosphorous in the bone, aiding the mine...
Humeral shaft fracture: A hospital based study
Background: Fractures of the shaft of the humerus account for 1% to 3% of all fractures in adults. The incidence of humeral shaft fracture is 14.5 per 100,000 per year and which is gradually increasing from the fifth dec...