Comparison of functional status, outcome of patient and complications in dynamic compression plating & interlocking nail in fixation of fracture shaft humerus

Abstract

Background: Management of fractures is ever evolving and humeral shaft fractures are no exception to this. Historically, management of fractures was centred around conservative methods. Treatment methods for these injuries continue to evolve as advances are made in both non-operative and operative management. Objective: To compare functional status and outcome of patient and complications in Dynamic Compression Plating & Interlocking Nail in fixation of fracture shaft humerus. Methodology: The present study was conducted in the Department of Orthopaedics, Govt. multispecialty Hospital, Sec. 16, Chandigarh during the years 2010-12. In this study 15 patients for each group i.e. Dynamic Compression Plating and Interlocking Nail were studied. Results: Functional outcome was assessed according to ASES Score. 46.7% cases in group I and 73.3% cases in group II had score of grade I. The incidence of complications like non-union, shoulder stiffness, implant failure was higher in group I. Conclusion: Complications are less with plating as compared with nailing. Incidence of shoulder stiffness, impingement is associated with nailing. Nailing has higher incidence of non union.