A Comparative Analysis of Locking Plate versus Intramedullary Nail for Humerus Shaft Fractures

Gaurav Vatsa; Saurabh Suman

doi:10.36948/ijfmr.2024.v06i01.13732

A Comparative Analysis of Locking Plate versus Intramedullary Nail for Humerus Shaft Fractures

Author(s)	Gaurav Vatsa, Saurabh Suman
Country	India
Abstract	Introduction: Humerus shaft fractures pose a significant challenge in Orthopaedic practice, with various treatment approaches available, including surgical methods like conservative management, Plating and Nailing. The choice between these methods remains debatable, necessitating further comparative studies. Methods: This study compared Open Reduction Internal Fixation (ORIF) with Locking Compression Plates and Closed Reduction Internal Fixation (CRIF) with Intramedullary Interlocking nails for Humerus shaft fractures. Patients were categorized into two groups based on the intervention received. Perioperative parameters, radiological outcomes, and complications were assessed. Results: Baseline demographics were comparable between the two groups. The Plating Group had longer surgery duration and higher blood loss compared to the Nailing Group. Both groups had similar rates of union and non-union, with no significant difference in shoulder function and pain outcomes at one year post-operation. Discussion: Functional outcomes post-union remain acceptable despite notable deformities, suggesting the viability of conservative treatments. While ORIF with plating has been conventional, concerns over blood loss and nerve injury have led to exploration of CRIF with intramedullary nails. This study, consistent with previous findings, found no significant disparity in outcomes between the two methods, emphasizing the need for personalized treatment decisions. In conclusion, this study adds to the understanding of Humerus shaft fracture management, highlighting the need for individualized treatment decisions and further research in this field.
Keywords	Humerus Shaft Fractures, Open Reduction Internal Fixation (ORIF), Locking Compression Plates (LCP), Closed Reduction Internal Fixation (CRIF), Intramedullary Interlocking (IMIL) nails, Constant Murley Score (CMS)
Field	Medical / Pharmacy
Published In	Volume 6, Issue 1, January-February 2024
Published On	2024-02-22
Cite This	A Comparative Analysis of Locking Plate versus Intramedullary Nail for Humerus Shaft Fractures - Gaurav Vatsa, Saurabh Suman - IJFMR Volume 6, Issue 1, January-February 2024. DOI 10.36948/ijfmr.2024.v06i01.13732
DOI	https://doi.org/10.36948/ijfmr.2024.v06i01.13732
Short DOI	https://doi.org/gtjtwk

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A Comparative Analysis of Locking Plate versus Intramedullary Nail for Humerus Shaft Fractures

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