INTERLOCKING NAIL VERSUS PLATE OSTEOSYNTHESIS IN FRACTURE SHAFT OF HUMERUS: A PROSPECTIVE STUDY

Dr. Prabir Kumar Bala; Dr Ayoush kumar Sinha; Prof. Ranajit Bhatta

Volume : IX, Issue : VII, July - 2020

INTERLOCKING NAIL VERSUS PLATE OSTEOSYNTHESIS IN FRACTURE SHAFT OF HUMERUS: A PROSPECTIVE STUDY

Dr. Prabir Kumar Bala, Dr Ayoush Kumar Sinha, Prof. Ranajit Bhatta

Abstract :

Diaphyseal fractures of humerus accounts for 3 % of all fractures. With increasing automobile accidents it is likely to be more in future. Fractures of the shaft of humerus have been treated conservatively since very long time . However, conservative treatment has its own demerits. Secondly it cannot be recommended in every cases .The operative treatment includes open reduction of fracture and internal fixation with plate osteosynthesis or closed reduction and intramedullary Nail . In this study we compared between open reduction and plate fixation with close reduction and Interlocking Nail fixation over a period of eighteen months. We included Sixteen patients for Interlocking and Fourteen patients for plate Osteosynthesis after considering all inclusion and exclusion criteria. We follow–up our patients for nine months on average. After doing prospective assessments and comperisn between two series we have found that Interlocking group done marginally better in respect of time of union and functional outcome (though not statistically significant) with less postoperative complication (statistically significant) than Plate Osteosynthesis.