Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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To Evaluate the Efficacy of an Interlocking Nail Technique to that of a Well‐Established Method of Plate Fixation in the Treatment of Acute Shaft Humerus Fractures: A Comparative Study
Harsh M. Patel, Bhuminkumar M. Patel, Jaimin A. Vaishnav and Swar Desai
Page: 19-24 | Received 14 Jul 2024, Published online: 03 Sep 2024
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Abstract
The aim of the present study was to assess the management with interlocked nail in treatment of acute fracture shaft humerus and to compare its effectiveness with well‐established method of plate fixation. The present study of management of acute humeral shaft fractures by antegrade interlocking nail fixation and dynamic compression plating was undertaken in the Department of Orthopedics for the period of 4 years. The average follow‐up period was one year (range 10‐24 months). 80 patients were included in the study. There were 60 men to 20 women, with the bulk in the 31‐40 age bracket. Youngest patient was 22., oldest was 69 in male. Average age was 37.53. Road traffic accidents (80%), falls from height (15%) and assault (4%) dominated our research. Middle third shaft fractures were most prevalent, then lower and higher. The most fractures were transverse, then oblique. There were 60 (75%) close and 20 (25%) open fractures. There were 30 preoperative radial nerve palsies. In 28 of 30 instances, recovery was complete. No iatrogenic nerve palsy was seen in our investigation. Nerves were intact in 18 of 20 instances and contused in 2. Most radial nerve palsy instances included middle third shaft humerus fracture. Most shaft humerus fractures were caused by head injury, followed by lower extremities and ipsilateral forearm fractures. Dynamic compression plating and interlock nailing stabilise and repair humeral shaft fractures in surgical patients. Plating takes greater dissection, blood loss and operation time than nailing. Proper antegrade interlock nailing is safe, fast and effective.
How to cite this article:
Harsh M. Patel, Bhuminkumar M. Patel, Jaimin A. Vaishnav and Swar Desai. To Evaluate the Efficacy of an Interlocking Nail Technique to that of a Well‐Established Method of Plate Fixation in the Treatment of Acute Shaft Humerus Fractures: A Comparative Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.19.24
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.19.24