Acta Orthop Traumatol Turc
Comparison between the results of intramedullary nailing and compression plate fixation in the treatment of humerus fractures
Abstract
Objectives: The results of open reduction and internal fixation of humeral shaft fractures by either an intramedullary nail or a dynamic compression plate were compared.
Methods: The study included 60 patients (43 males, 17 females; mean age 38 years; range 19 to 61 years) with humerus fractures. Thirty-three patients were treated with intramedullary nails and 27 patients with dynamic compression plates. Functional results were evaluated according to the Stewart and Hundley’s criteria. The two methods were compared. The mean follow-up period was 42 months (range 28 to 72 months).
Results: Healing times did not differ between the two treatment groups (p >0.05). Radial nerve palsy occurred only in the dynamic compression plate group, with four patients being affected. On the other hand, the rate of non-union was significantly higher in patients treated with intramedullary nailing (p
Methods: The study included 60 patients (43 males, 17 females; mean age 38 years; range 19 to 61 years) with humerus fractures. Thirty-three patients were treated with intramedullary nails and 27 patients with dynamic compression plates. Functional results were evaluated according to the Stewart and Hundley’s criteria. The two methods were compared. The mean follow-up period was 42 months (range 28 to 72 months).
Results: Healing times did not differ between the two treatment groups (p >0.05). Radial nerve palsy occurred only in the dynamic compression plate group, with four patients being affected. On the other hand, the rate of non-union was significantly higher in patients treated with intramedullary nailing (p
References
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