Functional and Radiological Outcomes of Plate Osteosynthesis Fixation and Interlocking Nailing Fixation Following Fracture Shaft of the Humerus: A Comparative Follow-up Study
Authors/Creators
- 1. Assistant Professor, Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Puducherry, India
- 2. Professor, Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Puducherry, India
- 3. Junior Resident, Department of Orthopaedics, Pondicherry Institute of Medical Sciences, Puducherry, India
Description
Background: Fractures of the humeral shaft account for 1 to 3% of all fractures and are among the more common types of fractures. Objectives: To compare the functional and radiological outcomes in patients with humeral shaft fractures treated with Plate Osteosynthesis versus those treated with Intramedullary Interlocking Nailing. Methods: A prospective comparative study on the management of acute humeral shaft fractures was conducted in the Department of Orthopedics at the Pondicherry Institute of Medical Sciences, Puducherry. The study included two groups of participants: Group A, who underwent plate osteosynthesis, and Group B, who received antegrade intramedullary interlocking nailing. Results: In a study of patients aged 21 to 69 years (mean age 37.7 years), 70.5% were male. The majority of fractures (65.38%) were caused by road traffic accidents, with 74.4% involving the right humerus. Subtype A2 was most common, with 51.3% of cases. Surgery occurred within a week for 90% of patients. Pre-operative radial nerve palsy was present in 3.84%, with all cases recovering. Post-operative complications included wound infections (4.2% plating, 3.3% nailing) and shoulder movement restrictions (16.7% nailing). The plating group showed superior shoulder outcomes (p<0.05), though overall outcomes were similar between groups (p>0.05). Radiologically, 70% of patients in the nailing group and 80% in the plating group achieved fracture union by 16 weeks. Non-union rates were higher in the nailing group (10%) compared to the plating group (4.16%). Conclusion: Both the treatment methods achieved similar union rates; however, the interlocking nailing group had a higher incidence of secondary complications.
Abstract (English)
Background: Fractures of the humeral shaft account for 1 to 3% of all fractures and are among the more common types of fractures. Objectives: To compare the functional and radiological outcomes in patients with humeral shaft fractures treated with Plate Osteosynthesis versus those treated with Intramedullary Interlocking Nailing. Methods: A prospective comparative study on the management of acute humeral shaft fractures was conducted in the Department of Orthopedics at the Pondicherry Institute of Medical Sciences, Puducherry. The study included two groups of participants: Group A, who underwent plate osteosynthesis, and Group B, who received antegrade intramedullary interlocking nailing. Results: In a study of patients aged 21 to 69 years (mean age 37.7 years), 70.5% were male. The majority of fractures (65.38%) were caused by road traffic accidents, with 74.4% involving the right humerus. Subtype A2 was most common, with 51.3% of cases. Surgery occurred within a week for 90% of patients. Pre-operative radial nerve palsy was present in 3.84%, with all cases recovering. Post-operative complications included wound infections (4.2% plating, 3.3% nailing) and shoulder movement restrictions (16.7% nailing). The plating group showed superior shoulder outcomes (p<0.05), though overall outcomes were similar between groups (p>0.05). Radiologically, 70% of patients in the nailing group and 80% in the plating group achieved fracture union by 16 weeks. Non-union rates were higher in the nailing group (10%) compared to the plating group (4.16%). Conclusion: Both the treatment methods achieved similar union rates; however, the interlocking nailing group had a higher incidence of secondary complications.
Files
IJPCR,Vol16,Issue8,Article134.pdf
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(4.8 MB)
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Additional details
Dates
- Accepted
-
2024-07-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue8,Article134.pdf
- Development Status
- Active
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