Comparison of Interlocking Nail and Compression Plating in Treatment of Humerus Shaft Fractures
DOI:
https://doi.org/10.64252/qabfwt13Keywords:
intramedullary nailing (IMN) ,locking compression plate (LCP),Dynamic compression plate (DCP),Non union, Radial nerve palsy,Rotator cuff injury .Abstract
Background: Humeral shaft fractures are common orthopaedic injuries. Though both intramedullary nailing (IMN) and compression plating are used widely, their comparative functional outcomes remain debated. This study compares these two fixation methods.
Methods: A retrospective analysis of 40 patients with humeral shaft fractures was conducted. Twenty patients were treated with compression plating and 20 with IMN. Outcome measures included operative time, radial nerve palsy, complications, and Rodriguez Merchan functional grade. Statistical analysis was performed using SPSS v21.
Results: Plating resulted in significantly more ‘Excellent’ outcomes and a higher complication-free rate than IMN. IMN had shorter operative time. Radial nerve palsy occurred more frequently with plating, while rotator cuff injuries were unique to IMN. Functional outcomes favored the plating group.
Conclusion: Compression plating provides superior functional outcomes compared to IMN for humeral shaft fractures, with fewer specific complications and improved recovery profiles.
