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Comparative Studies | Orthopaedic Surgery | India | Volume 12 Issue 7, July 2023

A Comparative Study of Management of Fracture Shaft of Humerus by Dynamic Compression Plate and Interlocking Nailing

Dr. Om Prakash Kumar ^[3] | Dr. Sunny Kumar ^[4] | Dr. Pankaj Kumar ^[10]

Abstract: Introduction: Fractures of the humeral shaft are common and accounts for 1 - 3% of all fractures and have bimodal distribution. Objective: To compare functional out - comes, union and complication rates in patients treated with locked intramedullary nailing or dynamic compression plating for humeral shaft fractures. Material and methods: This study was conducted in the Department of Orthopedic Surgery at Nalanda Medical College and Hospital, Patna, Bihar, between may 2022 to May 2023. Total 20 patients were surgically treated with either DCP or interlocking nailing between the above - mentioned study periods. The patients were followed up every second week till radiological union was seen. Patients were also assessed clinically. Results: Out of 20 cases, there were 15 men and 5 women.13 (76%) cases were admitted due to Road Traffic Accident and 3 (15%) Due to physical assault and 4 due to fall at home. Out Of 20 cases, 5 cases (25%) were proximal third, 10 (50%) were middle third, and 5 (25%) were distal third. The fractures united in 18 (90%) patients, with 2 (10%) cases showed delayed union due to infection. Conclusion: Open reduction and Internal fixation of the humerus shaft fractures treated with dynamic compression plate provides higher union rates as compared to other modes of treatment available.

Keywords: ORIF, Interlocking Nail, Dynamic Compression Plate, Diaphyseal Humerus Fracture, Humerus

Edition: Volume 12 Issue 7, July 2023,

Pages: 421 - 427