Outcome of Humeral Shaft Fracture Treated with Intramedullary Nail and Plate Fixation

Wang, Yansong; Kayastha, Yogesh; Cao, Yang; Guo, Zhiyong; Yuan, Yajiang; Bi, Yi

doi:10.29271/jcpsp.2020.01.73

Cited by 14 publications

(12 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Intramedullary nailing is a simple technique in contrast to other interventions like plating. According to Wang Y's study [10], the procedure is less invasive thus decreasing the duration of hospital stay as mentioned in this study as well. According to the literature [11], patients having quicker healing periods were found to be the ones that were managed via closed reduction, like in the case of Intramedullary nailing fixation that hardly needs open reduction.…”

Section: Discussionmentioning

confidence: 53%

Study on Percutaneous Intramedullary Nailing In Adult Diaphyseal Humeral Fractures

Soomro

Silro²,

Baloch³

et al. 2021

JPRI

View full text Add to dashboard Cite

Objective: The objective of this research was to evaluate close fixation techniques for fractures of humerus via percutaneous intramedullary nailing. Methodology: This was a prospective study, carried out in Suleman Roshan Medical College Tando Adam Pakistan from January 2019 to January 2020. About 60 patients with humeral shaft fractures were made part of this study with a follow-up period of about 1 to 2 years. The inclusion criteria were humeral fractures that were of less than 7 days prior to surgery, the displacement of fracture >20° in sagittal as well as coronal plane, and the distance measuring >2cm between the two fragments. All patients were treated via the closed fixation technique. Multiple nails that were slender as well as flexible (3-5) were used in the close fixation technique including rush nails (45 patients) and ender nails (15 patients). All the patients within their follow-up periods were evaluated for ROM, pain, or any kind of deformity, and all the patients were assessed radiographically to check the process of bone union. Results: The outcome was analyzed before implant i.e at six months and after the implant was removed. About 86% patients (n= 52) revealed satisfactory outcomes at six months. About 5 patients revealed non-union or delayed union that was healed after 2nd surgery of bone grafting in 3 patients and injections associated with bone marrow in 2 patients. Stiffening of the shoulder was found to be a frequent complication that decreased significantly when the position of nail insertion was changed during the research. Conclusion: The technique of intramedullary nailing displayed many benefits including minimum tissue stress, a quick surgery time, decreased period of hospital stay, and rapid bone union.

show abstract

Section: Discussionmentioning

confidence: 53%

Study on Percutaneous Intramedullary Nailing In Adult Diaphyseal Humeral Fractures

Soomro

Silro²,

Baloch³

et al. 2021

JPRI

View full text Add to dashboard Cite

show abstract

“…Another study by Wang Y et al [22] demonstrated that in plating group overall complications was found in 50% patients while in IML group 23.1% patients developed complications. Arun KN et al [23] reported in their study that only 10% patients showed delayed union who were treated with dynamic compression plating.…”

Section: Discussionmentioning

confidence: 94%

Dynamic Compression Plating Versus Interlocking Nail Procedure for Fracture Shaft of Humerus; A Comparative Study

Khan¹,

Iqbal²,

Khan³

2022

PJMHS

View full text Add to dashboard Cite

Objective: To evaluate the efficacy of dynamic compression plating against interlocking nail technique for the treatment of humeral shaft fractures. Study Design: Randomized controlled trial Place & Duration: Department of Orthopedic, Mardan Medical Complex, Mardan for the period of two years from April 2020 to October 2021. Methods: Fifty six patients (18-65 years old) of both sexes were included in the study because they had a humeral shaft fracture. The patients were randomly split into two groups. Both the dynamic compression plating group (n = 28) and the interlocking nail group (n = 28) received treatment. Radiographic examination both before and after surgery were performed. At the 12-day post-operative, complications following the operation were observed. The NEERs criteria were used to analyse the results of the functional assessments. Follow-up was taken at 6 months postoperatively. Results: Mean age of patients was 41.46±10.74 years. 42 (75%) patients were males while 25% were females. Road traffic accident was the most common cause found in 37 (66.07%) patients. Mean union time in DCP and INL group was 11.62±3.05 and 13.54±4.73 weeks. Shoulder stiffness was the commonest complication in both groups. At final follow up, in DCP group 24 (85.71%), 2 (7.14%) and 2 (7.14%) patients had excellent, good and fair outcomes, while in group B (INL) 19 (67.86%), 5 (17.86%) and 4 (14.29%) patients had excellent, good and fair outcomes. No significant difference was found in both groups regarding functional outcomes. Patients satisfaction was high in DCP group as compared to INL. Conclusion: Dynamic compression plating shows better outcomes in term of union time, complications and functional outcomes as compared to interlocking nail Technique. Keywords: Dynamic Compression Plating, Interlocking Nailing, Fracture Shaft of Humerus

show abstract

“…Altogether, the 43 studies investigated comprised 7688 patients with humeral shaft fractures. Eleven studies were randomised controlled trials (level II; 25.6%) (19, 20,21,22,23,24,25,26,27,28,29), 5 were prospective non-randomised case-control studies (III; 11.6%) (30,31,32,33,34), and 27 were retrospective cohort studies (IV; 62.8%) (6,8,9,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58). Twentyseven studies compared IM with ORIF (6,19,20,22,24,25,26,27,…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Twenty-four studies (8 level II (19,20,22,25,26,27,28,29), 3 level III (30,31,33), 13 level IV (6,39,40,42,47,48,52,53,54,55,56,57,58)) reported on non-union risk for IM vs ORIF. In three (47,48,58) of these studies, no event was reported in either arm, wherefore these were excluded from the meta-analysis.…”

Section: Im Vs Orifmentioning

confidence: 99%

See 1 more Smart Citation

Complications in humeral shaft fractures – non-union, iatrogenic radial nerve palsy, and postoperative infection: a systematic review and meta-analysis

et al. 2022

View full text Add to dashboard Cite

The aim of this systematic review and meta-analysis was to assess risk for iatrogenic radial nerve palsy (iRNP), non-union, and post-operative infection in humeral shaft fractures. A PubMed search including original articles comparing different treatments for humeral shaft fractures published since January 2000 was performed. Random effect models with relative risks (RR) and 95% CIs were calculated for treatment groups and outcomes. Of the 841 results, 43 studies were included in the meta-analysis (11 level II, 5 level III, 27 level IV). Twenty-seven compared intramedullary nailing (IM) with ORIF, nine conservative with operative treatment, four ORIF with minimally invasive plate osteosynthesis (MIPO), and three anterior/anterolateral with posterior approach. iRNP risk was higher for ORIF vs IM (18 studies; RR: 1.80; P = 0.047), ORIF vs MIPO (4 studies; RR: 5.60; P = 0.011), and posterior vs anterior/anterolateral approach (3 studies; RR: 2.68; P = 0.005). Non-union risk was lower for operative vs conservative therapy (six studies; RR: 0.37; P < 0.001), but not significantly different between ORIF and IM (21 studies; RR: 1.00; P = 0.997), or approaches (two studies; RR: 0.36; P = 0.369). Post-operative infection risk was higher for ORIF vs IM (14 studies; RR: 1.84; P = 0.004) but not different between approaches (2 studies; RR: 0.95; P = 0.960). Surgery appears to be the method of choice when aiming to secure bony union, albeit risk for iRNP has to be considered, particularly in case of ORIF vs IM or MIPO, and posterior approach. Due to the limited number of randomised studies, evidence on the best treatment option remains moderate, though.

show abstract

Outcome of Humeral Shaft Fracture Treated with Intramedullary Nail and Plate Fixation

Abstract: Objective: To compare the results of the intramedullary nail (IMN) and compression plate fixation performed for humeral shaft fracture as to determine a better option out of the two.

Cited by 14 publications

References 20 publications

Study on Percutaneous Intramedullary Nailing In Adult Diaphyseal Humeral Fractures

Study on Percutaneous Intramedullary Nailing In Adult Diaphyseal Humeral Fractures

Dynamic Compression Plating Versus Interlocking Nail Procedure for Fracture Shaft of Humerus; A Comparative Study

Complications in humeral shaft fractures – non-union, iatrogenic radial nerve palsy, and postoperative infection: a systematic review and meta-analysis

Contact Info

Product

Resources

About