S. Madhan Kumar, T.T. Annamalai, K.C. Mathew, J. Sugin Glen Baisil, Zakir Hussain Mohamed, G. Rohin, Functional Outcome of Plating Versus Intramedullary Nailing in Shaft of Humerus Fracture: A Compartive Study, Research Journal of Medical Sciences, Volume 18,Issue 11, 2024, Pages 629-635, ISSN 1815-9346, makrjms.2024.11.641.647, (https://makhillpublications.co/view-article.php?doi=makrjms.2024.11.641.647) Abstract:

Humeral shaft fractures accounts for about 3%‐5% of all fractures. Traditionally humeral shaft fractures are managed conservatively however rise in complications has moved towards surgical management of humeral shaft fracture. Most popular surgical management includes intramedullary nailing and plating. Yet, the ideal fixation method for the humeral shaft remains a topic of discussion hence we conducted this prospective study in department of orthopaedics, Sree Mookambika institute of medical sciences. 36 patients diagnosed clinically and radiologically with shaft of humerus fracture were included in this study. Patient were separated into two group randomly with 18 patients in each group. Patients treated with plating are included in the first group whereas Second group includes patient treated with intra medullary nail. Functional outcome between the two groups were assessed by using Rodriguez Merchan criteria. plating group had excellent outcome in 6 patients (33.3%), good outcome in 7 patients (38.8%), fair outcome among 4 patient (22.2%) and poor outcome in 1(5.5%). Where as in intramedullary nailing group had excellent outcome in 5 patients (27.8%), good outcome in 7 patients (38.8%), fair outcome among 5 patient (27.8%) and poor outcome in 1(5.5%). Our study suggests that plating provides better functional outcome compared to interlocking nailing.

Keywords: Humerus shaft; intramedullary nailing; plating and rodriguez merchan criteria