A comparative study of plating versus interlocking nail in fracture shaft humerus

Priyanka Mise; Deepthi Sabavath; Bharath Kumar S.; Fatima Heba Habeeb

doi:10.18203/issn.2455-4510.IntJResOrthop20251141

Authors

Priyanka Mise Department of Orthopaedics, Mamata Medical College, Khammam, Telangana, India
Deepthi Sabavath Department of Orthopaedics, Mamata Medical College, Khammam, Telangana, India
Bharath Kumar S. Department of Orthopaedics, Mamata Medical College, Khammam, Telangana, India
Fatima Heba Habeeb Department of Orthopaedics, Malla Reddy Medical College for Women, Suraram, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20251141

Keywords:

Humerus shaft fractures, Plating, Interlocking nail

Abstract

This study is to compare the outcomes of each method of fixation i.e. plating and interlocking nailing for the patients with fracture shaft of humerus and to analysis statistically significant difference in the results of these two methods conducted during October 2020 to September 2022 among 20 patients who satisfied the inclusion criteria and exclusion criteria, follow up was done up to 9 months. The study of 20 patients of humerus shaft fracture fixed either with plate or interlocking nail showed postoperatively in the plating group there were 2 complications and in the interlocking group there were 6 cases with complications, healing rate is found to be good in the plating maximum time taken is ≤17 weeks and while interlocking more than half cases took ≥17 weeks, the average disabilities of the arm, shoulder and hand (DASH) score in the plating group was 19.8 and in the interlocking group it was 44.6, among the 20 patients 5 had excellent results, 8 had good results, 5 had fair results, 2 had poor results. We conclude that both the modalities of treatment i.e., plating and interlocking nailing are good as far as union of the fracture is concerned, but considering the functional outcome and rate of complications, we are of the opinion that plating offers better result than interlocking nailing with respect to pain and function of the shoulder joint.

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References

Rockwood CA, Bucholz RW, Court-Brown CM, Heckman JD, Tornetta P. Rockwood and Green's Fractures in Adults. Chapter 36, Humerus shaft fractures. Volume 1, 8th edition. Philadelphia: Lippincott Williams & Wilkins. 2015;1287.

Pansey NK, Sharma GM, Naik LG, Badgire KS, Qureshi F, Jain V. Intramedullary nailing versus plating in shaft humerus fractures: a prospective randomized study. Int J Res Orthop. 2017;3:578-82. DOI: https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20171905

Gude NR, Kolati SR, Bonda Y. Comparative study of functional outcome of dynamic compression plating with interlocking nailing for fracture shaft humerus in adults. Int Arch Integ Med. 2019;6(8):102-16.

Saini R, Sharma A, Janakbhai KA. Intramedullary Nailing Versus Plating in Shaft Humerus Fractures: A Prospective Comparative Study. Med Res Public. 2022;3:3.

Kesemenli CC, Subasi M, Arslan H, Necmioglu S, Kapukaya A. Comparative study of fracture shaft of humerus managed by dynamic compression plating and interlock nailing. Acta Orthop Traumatol Turc. 2003;37:120-5.

Putti AB, Uppin RB, Putti BB. Locked intramedullary nailing versus dynamic compression plating for humeral shaft fractures. J Orthop Surg (Hong Kong). 2009;17(2):139-41. DOI: https://doi.org/10.1177/230949900901700202

Desai NR, Patil S, Jethmalani R, Gunaki RB, Patel NS, Shaha M, et al. A Comparative Study of Functional Outcomes of Fracture Shaft Humerus in Adults Treated with Dynamic Compression Plating and Interlocking Nailing. J Evidence Based Med Healthcare. 2015;2(8):1014-22. DOI: https://doi.org/10.18410/jebmh/2015/146

Habernek H, Orthner E. Locking nail for fractures of the humerus. JBJS B. 1998;557. DOI: https://doi.org/10.1302/0301-620X.80B3.0800557b

Borgeaud M, Cordey J, Leyvraz PE, PerrenSM. Mechanical analysis of the bone to plate interface of the LC-DCP and of the PC-FIX on human femora. Injury. 2000;31:29-36. DOI: https://doi.org/10.1016/S0020-1383(00)80029-7

Puri SR, Biswas SK, Salgia A, Sanghi S, Aggarwal T, Kohli A. Operative management of fracture of shaft humerus by dynamic compression plate versus interlocking intramedullary nailing: A comparative prospective study of 30 cases. Med J Dr. DY Patil Univ. 2013;6(1):49. DOI: https://doi.org/10.4103/0975-2870.108641

Canale ST. Campbell's Operative Orthopaedics. 10th Edition. Mosby Publications. Philadelphia. 2003.

Atroshi I, Gummesson I, Andersson B, Dahlgr E, Johannson A. The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire. Actaorthop Scand. 2000;71(6):613-8. DOI: https://doi.org/10.1080/000164700317362262

Farragos AF, Schemitsch EH, McKee MD. Complications of intramedullary nailing for fractures of the humeral shaft: a review. J Orthop Trauma. 1999;13:258-67. DOI: https://doi.org/10.1097/00005131-199905000-00006

Bucholz RW, Heckman JD. Rockwood and Green‘s Fractures in Adults. 8th edition. Philadelphia, PA: Lippincott Williams & Wilkins. 2015.

McCormack RG, Brien D, Buckley RE, Mckee MD, Powell J. Fixation of fractures of the shaft of the humerus by dynamic compression plate or intramedullary nail. J Bone Joint Surg Br. 2000;82:336-9. DOI: https://doi.org/10.1302/0301-620X.82B3.0820336

Gongol T, Mracek D. Functional therapy of diaphyseal fractures of the humeral bone. Acta Chir Orthop Traumatol Cech. 2002;69:248-53.

Tytherleigh-Strong G, Walls N, McQueen MM. The epidemiology of humeral shaft fractures. J Bone Joint Surg Br. 1998;80:249-53. DOI: https://doi.org/10.1302/0301-620X.80B2.0800249

Klenerman L. Fractures of the shaft of the humerus. J Bone Joint Surg Br. 1966;48B:105-11. DOI: https://doi.org/10.1302/0301-620X.48B1.105

Hems TE, Bhullar TP. Interlocking nailing of humeral shaft fractures: The Oxford experience 1991 to 1994. Injury. 1996;27:485-9. DOI: https://doi.org/10.1016/0020-1383(96)00056-3

Heim D, Herkert F, Hess P, Regazzoni P. Surgical treatment of humeral shaft fractures: the Basel experience. J Traunla. 1993;35:226-32. DOI: https://doi.org/10.1097/00005373-199308000-00009

Rathbun JB, Macnab L. The microvascular pattern of the rotator cuff. JBJSSB. 1970;52-B:540-53. DOI: https://doi.org/10.1302/0301-620X.52B3.540

Bell MJ, Beauchamp, Kellam JK, McMurtry. The Results of Plating Humeral Shaft Fractures in Patients with Multiple Injuries, the Sunny Brook Experience. JBJS Am. 1985;67:293-6. DOI: https://doi.org/10.1302/0301-620X.67B2.3980544

Singisetti K, Ambedkar M. Nailing versus plating in humerus shaft fractures: A prospective comparative study. Int Orthop. 2010;34:571-6. DOI: https://doi.org/10.1007/s00264-009-0813-2