Evaluation of treatment of diaphyseal fracture of humerus: Dynamic compression plate versus interlocking nail: A prospective randomized controlled study

Abstract

Fracture shaft of the humerus is a common injury in orthopaedic practice. Conservative management with plaster gives good result but this method cannot be applied in situations which necessitates internal fixation. There always a question arises which kind of implant to be used for surgical intervention. A prospective comparative study for the management of acute diphyseal humeral shaft fractures with dynamic compression plate and antegrade interlocking nail fixation was undertaken over a period of three years. In each category Twenty five patients had undergone above implant fixation after considering the inclusion and exclusion criteria. Rate and time of union, functional scoring criteria (ASES) and complication rate were used for postoperative assessment with an average follow-up period of one year. A higher rate of union with excellent to good functional outcome was seen with the plating group in our series.