International Journal of Orthopaedics Sciences
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International Journal of Orthopaedics Sciences

2019, Volume 5 Issue 2

Study of clinical outcome of fracture shaft of humerus treated by intramedullary interlocking nailing and plating in adults

Author(s): Dr. Deepak Kumar Mishra, Dr. AK Mehra and Dr. Ganesh Surwase
Abstract: Introduction: Humerus fracture represent approximately 3% of all fractures. Treatment methods are also advancing for these fracture in both operative and non-operative modes, Internal fixation of fracture of shaft of humerus by either plates and screws or intramedullary interlocking nailing leads to full, active, pain free mobilization which results in rapid return of normal blood supply to both bone and soft tissues. Aims and objectives: Evaluate outcome of fracture shaft of humerus in adult patients treated by Plating and intramedullary interlocking nailing. To compare end results of above two procedures by DASH (Disabilities of the arm, shoulder and hand) scoring system.
Method and Materials: 45 patients were selected of age group 18-70 yrs. All patients were treated operatively with intramedullary interlocking nailing or compression plating and its outcomes were assested using DASH score and complications were observed with follow up to 6 months clinically and radiological imaging.
Result: Out of 45 cases 25 patients were treated with Dynamic compression plating and 20 patients were treated with Intramedullary inter locking nailing. Time taken for union of fracture was less for plating group. Mean time of union in plating group was 13.4 weeks and for nailing group it was 21.8 weeks. Complications were more in patients were treated with IMN as compare to plating group. Mean DASH score for plating group was 25.70 and for nailing was 46.57.
Conclusion: Here for both the modality of treatment radiological outcome was almost similar but comparing the end result of functional outcome assessed with DASH score revealed better results in patients treated with compression plating. The rate of complications like joint stiffness, postoperative pain, delayed union, non-union were low in patients treated with plating than nailing.
Pages: 191-194  |  15 Views  3 Downloads