Abstract

Aim: To examine the outcomes of dynamic compression plating and interlocking nail procedure in patients presented with fracture shaft of humerus.

Study Design: Prospective study Place and Duration of Study: Department of Orthopedic Surgery, Bolan Medical Complex Hospital Quetta from 1st January 2018 to 31st December 2018.

Methodology: Forty four patients of both genders with ages 20 to 60 years presented with fracture shaft of humerus were included in this study. Patients were divided into two Groups Group I contain 22 patients and received dynamic compression plating and Group II contains 22 patients and received interlocking nail treatment. Pre and post-operative radiographical assessment was done. Post-operative complications were noted at 12 day. Functional outcomes were examined by the NEERs criteria.

Results: Thirty two (72.73%) patients (17 Group I, 15 Group II) were males and 12 (27.27%) patients (5 Group I, 7 Group II) were females. RTA was the most common mode of injury in 28 (63.64%) patients. Most of the fractures were on right side 30 (68.18%). Transverse fracture was the most common type found in 28 (63.64%) patients. Middle third was the most common level of fracture found in 25 (56.82%) patients. According to the NEER criteria, 81.82% patients shows excellent, 4 patients shows satisfactory with no poor results in Group I and in Group II 5 (22.73%) patients shows excellent, 12 (54.55%) patients shows satisfactory results and 5 (22.73%) shows unsatisfactory results.

Conclusion: It is concluded that dynamic compression plating shows better outcomes with less rate of complications as compared to interlocking nail procedure.

Keywords: Fracture shaft of humerus, Dynamic Compression Plating, Interlocking Nail