Humerus Midshaft Fractures-nailing or Plating? A Prospective Study Over 60 Patients
Journal Title: Journal of Bone and Joint Diseases - Year 2018, Vol 0, Issue 0
Abstract
Introduction: Humerus shaft fractures are a very common entity accounting for approximately 5% of fractures. Treating such fractures has always been the subject of debate in literature. Earlier, conservative treatment was considered to be the method of choice for managing humerus shaft fractures, but, nowadays, operative treatment is considered to be best for all such fractures. Material and Methods: A total of 60 adult patients with post-traumatic humerus shaft fractures were included in our study. Standard radiographs were obtained. Patients were divided into nailing group (Group 1) and plating group (Group 2). They were followed prospectively for a minimum of 1 year. Fracture union was confirmed radiologically, and functional evaluation was done according to Constant and Murley shoulder score and Mayo Elbow Performance Score. Results: The mean age of the patients was 45.25 years. Road traffic accidents were the most common cause. Fractures were classified according to AO/OTA classification. Shoulder score was excellent in 26 patients of plating group and 21 of nailing group. Excellent elbow scores were seen in 23 in plating group and 25 in nailing group. Remaining patients had good results. Average union time in nailing and plating groups was 5.5 months and 4 months, respectively. Conclusion: When comparing the short-term results, nailing appears to be better than plating, but in long-term follow-up, both nailing and plating give equivalent results, clinically and radiologically.
Authors and Affiliations
Paras Gupta, Nikhil Jain
Keywords
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