Comparison of outcome of shaft humerus fracture: Anterior bridge plating versus posterior plating vs humerus intramedullary nailing

Abstract

Introduction: Shaft humerus fractures are complex injuries as their management requires stable fixation and adequate reduction. Management includes conservative cast application, intramedullary nailing, open reduction and internal fixation or MIPPO plating in form of Anterior Bridge plating.Aims and Objectives: Comparison of outcome of shaft humerus fracture treated by: Anterior bridge plating versus posterior plating versus intramedullary humerus nailing. Materials and Methods: A retrospective clinical study was done on 40 patients with shaft humerus fractures treated with Anterior bridge plating and posterior plating and intramedullary nailing by trained surgeons at a tertiary trauma care centre in the Department of Orthopaedics, BJ medical college, Civil hospital Ahmedabad between Nov 2019 to Nov 2020. The mean follow-up study time was approximately 6 months. (1-12 months).Observation and Results: All the operated patients were followed up for mean period of 6 months months (range from 01 to 12 months). Clinical, physiological and ortho-radiological assessment was performed to observe and evaluate fracture stabilization and reduction and fracture healing and callus formation and range of movements.Conclusion: Adequate reduction with less operative time and less soft tissue damage and preservation of neurovascular with increased rate of union and early mobilization was seen with ABP plating. Nailing had same benefits except the decreased range of movement at shoulder.