COMPARATIVE STUDY OF COMPRESSION PLATING VS. INTERLOCKING NAIL IN FRACTURE SHAFT OF HUMERUS

Abstract

Rajeev Kumar Roy1, Mahesh Prasad2

BACKGROUND
Fractures of shaft humerus are among the most common fractures. The modes of treatment are also changing with the advancement in the field of orthopaedics. This study was conducted to evaluate the outcome of the results of open reduction and internal fixation with DCP and close interlocking nail in fracture shaft of humerus.
MATERIALS AND METHODS
It was a prospective study consisted of 60 cases of fracture shaft humerus divided in two groups of 30 each to which closed interlocking nail and open dynamic compression plate was done. Study was conducted in Department of Orthopaedics, Nalanda Medical College Hospital, Patna. Results were evaluated with Neer’s criteria. The results were analysed on the parameters of sex, age, mode of trauma, functional outcome and complications, etc.
RESULTS
The average age of patients was 41.5 years with male:female ratio 6:4, more common on right side 68%, road traffic accident in 60% cases as common mode of injury, middle third as common region 52.8%, most common AO type A3 56.4% cases, 80% cases were closed type as most common type with group A ILN shows 30% cases as excellent result and 54.6% cases showing satisfactory results and in group B, DCP shows 85% cases excellent result and 15% cases shows satisfactory results.
CONCLUSION
In the present study, it was concluded that compression plating is still time tested and best treatment for fracture shaft humerus.

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