A study of functional outcome of humeral diaphyseal fractures treated with dynamic compression plate

Dindod, Vishal; Patel, Gaurang

doi:10.22271/ortho.2019.v5.i3b.1768

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Gude et alstudy . 's found that the right side was more frequently affected than the left side in n = 23 (60.5%) cases compared to n = 15 (39.5%) cases (13) . In both groups, the middle third of the diaphysis (55.3%) and bottom third (27.9%) of the diaphysis were the most frequently fractured areas.…”

Section: Discussionmentioning

confidence: 90%

An Observational Study on the Functional Outcomes of Intramedullary Nailing Versus Dynamic Compression Plating for Humeral Shaft Fractures

Dar¹,

Shahid²,

Muqaddas³

et al. 2023

PJMHS

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Objectives: The purpose of this research is to evaluate and contrast the functional results of Dynamic Compression Plating and Interlock Nailing for Humeral Shaft Fractures. Material and Methods: The design of this study was a prospective observational study. This study was conducted in DHQ Teaching Hospital Gujranwala and the duration of this study was from October 2020 to December 2022. We evaluated a total of 60 cases after receiving ethics committee permission from our institute. In DHQ Teaching Hospital Gujranwala, a study on instances of humeral shaft fractures needing surgical intervention was conducted. Results: In the plating group, 76.7% of the cases had outstanding results, compared to 56.7% in the nailing group. Moreover, the nailing group had a worse overall result (13.4% vs. 10%). Conclusion: Locking plating and intramedullary nailing had statistically similar results for individuals undergoing surgical intervention for humeral shaft fractures. In terms of union and function, both provide excellent and favourable results, but the dynamic compression plating group had a higher percentage of positive results and a propensity for union. Keywords: Humeral Shaft Fracture, Intramedullary Nailing, Dynamic Compression Plating

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Section: Discussionmentioning

confidence: 90%

An Observational Study on the Functional Outcomes of Intramedullary Nailing Versus Dynamic Compression Plating for Humeral Shaft Fractures

Dar¹,

Shahid²,

Muqaddas³

et al. 2023

PJMHS

View full text Add to dashboard Cite

show abstract

“…The sample size, calculated using a test comparing two independent means in Stata version 15.1 (StataCorp LP, College Station, Texas), was determined based on a similar study. The primary outcome, the union rate at 3 months, was 97% for the study group (14) and 60% for the control group (15) . With a level of significance at 5% and power of 80%, the calculated sample size was 50.…”

Section: Sample Size and Statistical Analysismentioning

confidence: 94%

Comparative Study of Union Rate in Closed Humerus Shaft Fracture After Operative Fixation with Anteromedial Versus Anterolateral Surface Plating Using the Anterolateral Approach: A Randomized Controlled Study

Rattanakitkoson,

Lothaisong,

Ruangsillapanan

2024

JseaOrtho

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Purpose: Plate osteosynthesis is considered the gold standard for treating humeral shaft fractures, and orthopedic surgeons widely use the anterolateral approach with anterolateral surface placement. However, surgeons may have difficulties with the non-smooth surface and proximity to the radial nerve during their use. To address this challenge, we propose introducing the anterolateral approach with anteromedial surface placement. This study aimed to compare the outcomes between anteromedial and anterolateral surface plating using the anterolateral approach. Methods: This study included 74 patients who sustained a mid-shaft humerus fracture (AO 12) and underwent open reduction internal fixation between December 2020 and December 2022. Twelve patients were excluded based on the exclusion criteria. Among the remaining patients, 30 were randomized and allocated to surgery with anteromedial surface plating, while 32 patients were treated with anterolateral surface plating through an anterolateral approach. Postoperative clinical and radiographic results were recorded and analyzed. Results: The union rate, blood loss, operative time, and complications were not significantly different between the two groups. All the patients healed radiographically except for two in the anterolateral surface plating group, who required reoperation. Although anteroposterior alignment was significantly better in the anteromedial surface plating group, it was not clinically significant. Conclusions: Anteromedial plating demonstrated a commendable union rate, offered assured alignment, and presented itself as a secure option for addressing fractures of the humerus shaft.

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A study of functional outcome of humeral diaphyseal fractures treated with dynamic compression plate

Cited by 2 publications

References 6 publications

An Observational Study on the Functional Outcomes of Intramedullary Nailing Versus Dynamic Compression Plating for Humeral Shaft Fractures

An Observational Study on the Functional Outcomes of Intramedullary Nailing Versus Dynamic Compression Plating for Humeral Shaft Fractures

Comparative Study of Union Rate in Closed Humerus Shaft Fracture After Operative Fixation with Anteromedial Versus Anterolateral Surface Plating Using the Anterolateral Approach: A Randomized Controlled Study

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