Key result
Dynamic compression plating resulted in significantly better functional outcomes compared to intramedullary interlocking nailing, with 90.9% of patients achieving excellent or good results versus 63.6% (p<0.05).
Why the study?
The study was conducted to compare the functional outcome of dynamic compression plating versus intramedullary interlocking nailing in patients with fracture shaft of the humerus.
Does dynamic compression plating improve functional outcome compared to intramedullary interlocking nailing in adults with humeral shaft fracture?
Cohort (n=44)
No
Does dynamic compression plating improve functional outcome compared to intramedullary interlocking nailing in adults with humeral shaft fracture?
Absolute Event Rate: 90.9% vs 63.6%
p-value: p=<0.05
Dynamic compression plating offers better functional outcomes than interlocking nailing for humeral shaft fractures in adults.
May favor plating for humeral shaft fractures; leaves open confirmation in randomized trials.
Background: Aim of the study was to compare the functional outcome in patients with fracture shaft of the humerus treated with dynamic compression plating (DCP) and those treated with intramedullary interlocking nailing. Methods: Of 44 patients with humeral shaft fracture were included in this study and were divided in the following two groups of 22 patients: Group A: Patients treated with DCP by triceps splitting approach and group B: Patients treated with standard intramedullary interlocking nailing. All patients were followed up at 6 weeks, 3 months and 6 months post operatively. Functional outcome was assessed using Rodriguez-Merchan criteria on follow up at 6 months post op. Results: The mean age of patients in group A was 39.05±13.13 years and group B was 38.73±12.95 years. According to Rodriguez-Merchan criteria, 8 (36.4%) and 12 (54.6%) patients in group A had excellent and good functional outcome respectively and 4 (18.2%) and 10 (45.4%) patients in group B had excellent and good functional outcome respectively. Conclusions: DCP offers better functional outcome than interlocking nailing.
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Bhutani et al. (2021) conducted a cohort in Humeral shaft fractures (n=44). Dynamic compression plating (DCP) vs. Intramedullary interlocking nailing was evaluated on Excellent or good functional outcome according to Rodriguez-Merchan criteria at 6 months (p=<0.05). Dynamic compression plating resulted in significantly better functional outcomes compared to intramedullary interlocking nailing, with 90.9% of patients achieving excellent or good results versus 63.6% (p<0.05).
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