Comparative study of functional outcome of Dynamic compression plating with Intramedullary Interlocking nailing in close fracture shaft of humerus in adults

Modi, Nikunj; Pundkar, Ganesh

doi:10.5455/jrmds.20153412

Cited by 4 publications

(7 citation statements)

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“…14 There were 62.2% males in this study, while Modi and Pundkar reported 77% of males in a similar study. 10 In our study, in 58% of patients, roadside accidents were the prime cause, a similar finding was observed in another study. 15 In some studies, restricted shoulder movement and delayed union were seen with intramedullary nailing, believed to be caused by nerve damage due to accidental migration of nail more proximally, damage to the rotator cuff, capsulitis, etc.…”

Section: Discussionsupporting

confidence: 91%

“…On considering the proportion of excellent functional outcome in DCP group as 43.5%, the proportion of excellent functional outcome in ILN group as 12%, significance level as 5%, power of the test as 90%, and type I error as 2.5%, minimum sample size came out to be 82. 10 Patients of age 20-50 years with post-traumatic closed fracture shaft of humerus, duration of fracture ≤4weeks, and American Society of Anesthesiologists (ASA) grade I and II were included. Those with skeletal immaturity diagnosed on non-fusion of the epiphysis of long bones assessed on X Rays, pathological fracture of shaft of humerus, or open fractures were not taken into consideration.…”

Section: Methodsmentioning

confidence: 99%

“…DCP and IMN or ILN (Intramedullary interlocking nailing). 10 The rationale of our study is to compare the functional outcome of DCP with ILN in closed fractures of the shaft of humerus. Different studies used different tools to measure outcome however, the DASH symptom scale is a validated tool used only in a few.…”

Section: Introductionmentioning

confidence: 99%

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Functional outcome of dynamic compression plating compared with intramedullary interlocking nailing in closed fracture shaft of humerus in adults.

Azmatullah

Ali

Siddiqui

et al. 2020

TPMJ

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Objectives: To compare the functional outcome of dynamic compression plating with intramedullary interlocking nailing in closed fracture of the humeral shaft in adults. Study Design: Prospective comparative study. Setting: Department of orthopedics, Civil hospital, Karachi. Period: From 8th February to 7th August 2017. Material & Methods: A total of 82 patients with post-traumatic closed fracture shaft of the humerus were included. Patients were randomly allocated into two groups. Group I was offered Intramedullary Interlocking nail (ILN) and Group II was offered a dynamic compression plate (DCP). The functional outcome was measured by the “Disabilities of Arm, Shoulder and Hand” (DASH) score. Results: The average age of the patients was 32.87±6.65 years. The acceptable outcome was significantly high in DCP group as compared to the ILN group (87.8% vs. 61%; p = 0.005). Conclusion: We conclude that dynamic compression plating is functionally a better technique than interlocking nailing for closed fracture of shaft of the humerus in adults.

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Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

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Functional outcome of dynamic compression plating compared with intramedullary interlocking nailing in closed fracture shaft of humerus in adults.

Azmatullah

Ali

Siddiqui

et al. 2020

TPMJ

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“…The incidence of post-operative radial nerve palsy in various studies are varies from 2.6% to 14.3% in the interlocking group. 5,20,26 In our study no patient reported in interlock in nailing group with radial nerve palsy.…”

Section: Discussionmentioning

confidence: 49%

“…24,25 Same result reported by Modi, Pundkar. 26 There were 18 (66%) patients who developed shoulder pain/stiffness or the other shoulder pain (impingement) out of 27 patient in the interlocking nailing group reported. Our study confirms that antegrade insertion of nail can lead to problems with shoulder function and range of movement probably because of damage to the rotator cuff.…”

Section: Discussionmentioning

confidence: 95%

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

et al. 2017

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With the dynamic success of intramedullary fixation of fractures of the femur and tibia, there was speculation 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.

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Humeral shaft fracture: systematic review of non-operative and operative treatment

Bergen

Mahabier

Lieshout

et al. 2023

Arch Orthop Trauma Surg

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Introduction Humeral shaft fractures can be treated non-operatively or operatively. The optimal management is subject to debate. The aim was to compare non-operative and operative treatment of a humeral shaft fracture in terms of fracture healing, complications, and functional outcome. Methods Databases of Embase, Medline ALL, Web-of-Science Core Collection, and the Cochrane Central Register of Controlled Trials (CENTRAL) were systematically searched for publications reporting clinical and functional outcomes of humeral shaft fractures after non-operative treatment with a functional brace or operative treatment by intramedullary nailing (IMN; antegrade or retrograde) or plate osteosynthesis (open plating or minimally invasive). A pooled analysis of the results was performed using MedCalc. Results A total of 173 studies, describing 11,868 patients, were included. The fracture healing rate for the non-operative group was 89% (95% confidence interval (CI) 84–92%), 94% (95% CI 92–95%) for the IMN group and 96% (95% CI 95–97%) for the plating group. The rate of secondary radial nerve palsies was 1% in patients treated non-operatively, 3% in the IMN, and 6% in the plating group. Intraoperative complications and implant failures occurred more frequently in the IMN group than in the plating group. The DASH score was the lowest (7/100; 95% CI 1–13) in the minimally invasive plate osteosynthesis group. The Constant–Murley and UCLA shoulder score were the highest [93/100 (95% CI 92–95) and 33/35 (95% CI 32–33), respectively] in the plating group. Conclusion This study suggests that even though all treatment modalities result in satisfactory outcomes, operative treatment is associated with the most favorable results. Disregarding secondary radial nerve palsy, specifically plate osteosynthesis seems to result in the highest fracture healing rates, least complications, and best functional outcomes compared with the other treatment modalities.

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Comparative study of functional outcome of Dynamic compression plating with Intramedullary Interlocking nailing in close fracture shaft of humerus in adults

Cited by 4 publications

References 0 publications

Functional outcome of dynamic compression plating compared with intramedullary interlocking nailing in closed fracture shaft of humerus in adults.

Functional outcome of dynamic compression plating compared with intramedullary interlocking nailing in closed fracture shaft of humerus in adults.

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

Humeral shaft fracture: systematic review of non-operative and operative treatment

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