ORIGINAL RESEARCH
OPEN VERSUS CLOSED REDUCTION IN HUMERAL SHAFT FRACTURES: COMPARATIVE
STUDY BETWEEN INTRAMEDULLARY NAILING AND PLATING
1
Department of Orthopedics, Centre of Postgraduate Medical Education, Otwock, Poland
2
Trauma and Orthopedics Department, Centre of Posgraduate Medical Education, Otwock,
Poland
3
Department of Orthopaedic Surgery and Traumatology, Southern Hospital, Warsaw, Poland
4
Idea Ortopedia, Warsaw, Poland
5
Department of Orthopedics and Rheumoorthopedics, Centre of Postgraduate Medical Education,
Otwock, Poland
Submission date: 2024-02-18
Acceptance date: 2024-10-23
Publication date: 2025-11-26
Corresponding author
Issue Rehabil. Orthop. Neurophysiol. Sport Promot. 2023;45(4):7-18
KEYWORDS
Humerus shaft fractures (HSF)subjective evaluation scalestreatment withintramedullary (IM) nail or locking plate
TOPICS
ABSTRACT
Aim:
To evaluate clinical and functional outcomes of Humeral Shaft Fracture (HSF) treatment with intramedullary (IM) nail or locking plate.
Material and Methods:
72 patients were evaluated with a mean follow-up of 38.3 months. Functional results were evaluated using The Disabilities of Arm, Shoulder and Hand scale (DASH), Numeric Pain Rating Scale (NRS) Subjective Shoulder Value (SSV).
Results:
42 patients were treated with IM nailing and 20 with plating. 18 (29.0%) complications occurred within 30 days and 14 (16.1%) within 6 months. There were significantly more transient neurological complications within 30 days from surgery in patients with plate fixation. Revision surgery was required in 10 (16.1%) and nonunion developed in 2 (2.7%) cases without the significant difference between fixation groups.
Conclusions:
Fixation of humeral shaft fracture with plate can more often result in transient neurological complications in early postoperative period than nailing. No statistically significant difference in functional results nor other complications were reported.
To evaluate clinical and functional outcomes of Humeral Shaft Fracture (HSF) treatment with intramedullary (IM) nail or locking plate.
Material and Methods:
72 patients were evaluated with a mean follow-up of 38.3 months. Functional results were evaluated using The Disabilities of Arm, Shoulder and Hand scale (DASH), Numeric Pain Rating Scale (NRS) Subjective Shoulder Value (SSV).
Results:
42 patients were treated with IM nailing and 20 with plating. 18 (29.0%) complications occurred within 30 days and 14 (16.1%) within 6 months. There were significantly more transient neurological complications within 30 days from surgery in patients with plate fixation. Revision surgery was required in 10 (16.1%) and nonunion developed in 2 (2.7%) cases without the significant difference between fixation groups.
Conclusions:
Fixation of humeral shaft fracture with plate can more often result in transient neurological complications in early postoperative period than nailing. No statistically significant difference in functional results nor other complications were reported.
| ISSN: | 2300-0767 |
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