The outcomes of surgical treatment of closed humeral shaft fractures in adults: Plates versus Nails

Authors

  • Komit Ghanem Tishreen University
  • Ahmed Jouni Tishreen University
  • Ali Youssef Tishreen University

Abstract

Purpose: To compare functional outcomes, union and complication rates in patients treated with locked intramedullary nailing or dynamic compression plating for humeral shaft fractures.

 Methods: 25 men and 14 women with humeral shaft fractures were randomised to undergo locked antegrade intramedullary nailing (IMN, n=22) or dynamic compression plating (DCP, n=17). Patients with pathological fractures, open fractures, neurovascular injury, or fractures for more than 2 weeks were excluded. Fractures were classified according to the AO classification system 25 were injured in road traffic accidents. The functional outcome (according to the American Shoulder and Elbow Surgeons [ASES] score) and rates of union and complication of the 2 groups were compared.

Results: All patients were followed up for a minimum of 12 months. In the respective IMN and DCP groups, Locked intramedullary nailing versus dynamic compression plating for humeral shaft fractures the mean ASES scores were 91.5 and 91.3 (p=0.89), , the non-union rates were 4.5% and 0% (p=0.3). In the DCP group 2 had transient radial nerve palsies , one superficial  infection, in IMN group 4 had shoulder impingement , one underwent re-operation for implant failure.

Conclusion: functional outcomes were good in both methods , and the surgery time was shorter in IMN group.

Downloads

Published

2022-09-07

How to Cite

1.
غانم ك, أحمد جوني, علي يوسف. The outcomes of surgical treatment of closed humeral shaft fractures in adults: Plates versus Nails. Tuj-hlth [Internet]. 2022Sep.7 [cited 2024Nov.24];44(4):357-64. Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/13235

Issue

Vol. 44 No. 4 (2022): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Master student researches

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Most read articles by the same author(s)