Vishwesh Devendrasinh Chudsasama ¹, Sandeep Pangavane ², Kaustubh Satish Devasthali ¹, Sameer Nandkumar Shelavale ³, Shubham Zade ¹, Vishal Harkar ¹

Affiliations
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Adgaon, Nashik – 422203, Maharashtra, IN
2 Professor and Head, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Adgaon, Nashik – 422203, Maharashtra, IN
3 PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Nashik – 422203, Maharashtra, IN

Abstract

Background: The proportion of humeral shaft fractures being treated conservatively reportedly varies from 33% to 95%. Nonsurgical treatment results in higher incidence of union and fewer complications than open reduction and internal fixation. Aims and Objectives: To study and compare the functional outcome of Dynamic Compression Plating and Interlock Nailing for humeral shaft fractures. Material and Methods: After taking approval of ethics committee of our institute, we studied a total of sixty cases over a span of 36 months – October 2018 to December 2020. Study was carried out on cases of humeral shaft fractures requiring operational intervention in department of orthopaedics of tertiary care centre in Maharashtra. Results: A total of 76.7% cases in plating group had excellent outcome as compared to 56.7% in nailing group. Also poor to fair outcome was noted more in nailing group (13.4% vs 10%). Conclusion: Statistically comparable results have been observed for patients undergoing surgical intervention for humeral shaft fractures among locking plating and intramedullary nailing. Both provide excellent and favourable results in terms of union and function, however a higher rate of excellent results and tendency for union was seen with dynamic compression plating group

Keywords

Dynamic Compression Plating, Humeral Shaft Fracture, Intramedullary Nailing, Open Reduction Internal Fixation

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