Comparative study of functional outcome of dynamic compression plating with intramedullary interlocking nailing in close fracture shaft of humerus in adults

Authors

  • Yash B. Rabari Department of Orthopaedic, Rural Medical Collage, LoniBk, Maharashtra
  • D. V. Prasad Department of Orthopaedic, Rural Medical Collage, LoniBk, Maharashtra
  • Ashish M. Somanni Department of Orthopaedic, Rural Medical Collage, LoniBk, Maharashtra
  • Pushpak Kumar Department of Orthopaedic, Rural Medical Collage, LoniBk, Maharashtra

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20172881

Keywords:

Humerus, DCP, IMILN, Fracture

Abstract

Background: Humeral shaft includes 1% of all fractures. The advantage of operative management is early mobilization and patients comfort. Most of the studies compare two main modalities of management, 1. dynamic compression plate 2. intramedulary interlocking nail, with respect to fracture union as major criteria. Very few studies have compared functional outcome with respect to shoulder and elbow joint. The purpose of this study is to compare the outcomes of each method of fixation. (Dynamic compression plating and interlocking nailing) for the fracture shaft of humerus and to analyse statistically significant difference in the results of these two methods.

Methods: There were 58 patients of fracture shaft humerus were enrolled during 2 May 2015 to 2 January 2017 in the study. They were randomly divided into two groups, DCP group and IMILN group, each having 29 patients and compare the functional outcome of both groups with each other.

Results: There were total 53 patients among them 26 (49.05%) treated with DCP and 27 (55.95%) treated with intramedullary interlocking nail (IMILN).The mean age of patient treated with DCP was 40.12 years (SD±8.51, Min-Max: 25-60) and treated with IMILN was 41.96 years (SD±11.04, Min-Max: 22-61). Road traffic accident was major mode of injury to shaft of humerus.

Conclusions:Dynamic compression plating is preferable technique than interlocking nailing for fracture shaft of humerus in adults.

 

Author Biographies

Yash B. Rabari, Department of Orthopaedic, Rural Medical Collage, LoniBk, Maharashtra

POST GRSDUATE DEPARTMENT OF ORTHPAEDIC

D. V. Prasad, Department of Orthopaedic, Rural Medical Collage, LoniBk, Maharashtra

Professor And HOD 

Department Of Orthopaedic

Rural Medical Collage, Loni

Ashish M. Somanni, Department of Orthopaedic, Rural Medical Collage, LoniBk, Maharashtra

Associate Professor 

Department Of Orthopaedic

Rural Medical Collage, Loni

Pushpak Kumar, Department of Orthopaedic, Rural Medical Collage, LoniBk, Maharashtra

Post Graduate Student 

Department Of Orthopaedic

Rural Medical Collage, Loni

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Published

2017-06-23

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Original Research Articles