A prospective study to evaluate surgical management of fracture shaft of humerus using nailing and platting technique

Abstract

Background: Treatment of fracture of humerus was always a challenge to medical practitioner as recorded by in ancient medical literature but iatrogenic damage during management was always concentration. Present study has been designed with an aim to evaluate surgical management of fracture shaft of humerus using nailing and plating technique. Method: Patients with fracture shaft of humerus who require surgical stabilisation were selected for fixation with dynamic compression plate or fixation by intramedullary nailing randomly by using sealed envelope method. In dynamic compression plating we used 4.5 mm compression plate in all patients. Regular evaluation of the patient was done by local examination and radio graphic examination functional evaluation, was done by Myo elbow performance scale, Shoulder function (Constant and Murley score) and American shoulder and elbow surgeon score (ASES scare). Result: Regarding functional status of joints based on score, the Myo elbow performance score was excellent in 12 patients in DCP group, good in 7 seven patients and fair in one patient. In interlocking nail group the score was excellent in 14 patients, good in 4 patients and fair in 2 patients. The p value was more than 0.05 which is not significant statistically. In DCP group the shoulder score (constant and Murley score) was excellent in 13 patients, good in 6 patients and fair in one patient. Discussion and Conclusion: Based on our observation we can conclude that there is no significant difference in functional outcome between platting and nailing group groups. Regarding complication between two group adhesive capsulitis was common in nailing group and delayed union was more in plating group.