Plating/Nailing The Ideal Fixation for Diaphyseal Fractures of Humerus- Our Experience.

The diaphyseal fractures of humerus were traditionally treated conservatively, but the needs of the patients warranted Surgical fixation of these fractures now. The two most popular methods of fixation are Plate Osteosynthesis and Intra-medullary fixation with Inter-locking Nail. In this study we tried to compare these two methods of fixation to arrive at the ideal choice of implant for these fractures. Permission of the Ethical committee Materials & Methods : In this study we included 38 patients with diaphyseal fractures of humerus, who attended the department of Orthopedics and Traumatology, Osmania General Hospital, Hyderabad. The period of study was 2 years i.e, from September 2013 to September 2015. Results : Among the 38 patients 10 had excellent results, 12 had good results, 10 had fair results, 6 had poor results. Conclusion : Both the methods of fixation have their definitive indications, but if a similar fracture has to be fixed Plate Osteosynthesis is the method of choice. Our sample size is small to make any emphatic statements, but the study is being continued and we will be coming out with a bigger sample size in future.

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