Vol. 5, Issue 4 (2019)

Comparitive analysis of interlocking intramedullary nail and locking compression plate in the treatment of diaphyseal humeral fractures

Author(s):

Dr. Sunil S, Dr. Arjun K Unnam and Dr. TD Bhattacharyya

Abstract:
Introduction: Humerus fractures comprise 3-5% of all fractures in adults. These are best treated operatively to ensure optimal function. The main aim behind going for operation is for early mobilization in active adults. The usual modalities of operation used are intramedullary nailing and osteosynthesis with locking compression plate (LCP).
Materials and methods:A prospective study was carried out for 40 cases of humeral diaphyseal fractures out of which, 20 cases were treated with locking compression plate and 20 were treated with intra medullary nail. Serial follow up and assessment was done for radiological union and functional outcome.
Results: Average age 35.9 years. The commonest mode of injury was road traffic accident (RTA). Radial nerve palsy seen in only in 7.5% (3 cases) of the cases. Average time taken for union in IMN was 14.15 weeks and LCP was 15.15 weeks. Post-operative complications are less in LCP group than IMN group of patients.
Conclusion: Considering the functional outcome and rate of complications, we concluded that locking compression plating offers better result than interlocking nailing with respect to pain and function of the shoulder joint.

Pages: 1040-1045  |  995 Views  237 Downloads

How to cite this article:
Dr. Sunil S, Dr. Arjun K Unnam and Dr. TD Bhattacharyya. Comparitive analysis of interlocking intramedullary nail and locking compression plate in the treatment of diaphyseal humeral fractures. Int. J. Orthop. Sci. 2019;5(4):1040-1045. DOI: 10.22271/ortho.2019.v5.i4r.1818