Comparison of the Locking Intramedullary Nailing, Single Plate and Double Plate Osteosynthesis in Treatment of Humerus Shaft Fractures

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dc.contributor.authorTosun, Haci Bayram
dc.contributor.authorSerbest, Sancar
dc.contributor.authorYasar, Mehmet Mete
dc.contributor.authorUludag, Abuzer
dc.contributor.authorErsoz, Galip
dc.date.accessioned2025-01-21T16:36:52Z
dc.date.available2025-01-21T16:36:52Z
dc.date.issued2023
dc.departmentKırıkkale Üniversitesi
dc.description.abstractObjective: To compare the clinical and radiographic outcomes between patients treated with single plate osteosynthesis, double plate osteosynthesis, and antegrade locked intramedullary nailing (IMN) in treatment of humerus diaphyseal fractures. Study Design: Descriptive study. Place and Duration of the Study: Department of Orthopaedics and Traumatology, Adiyaman University Training and Research Hospital, Adiyaman, Turkey, between 2014 and 2020. Methodology: A total of 99 patients with humerus diaphyseal fractures were retrospectively evaluated. Forty- six had been treated with single plating, 24 were treated with double plating, and 29 with IMN. The outcomes were evaluated in terms of the union time, union rate, complications, and Disabilities of the Arm, Shoulder, and Hand (DASH) functional scores. Results: The average union time was 17 weeks and nonunion rate was 6% of patients. There was no significant difference between the groups in terms of DASH functional score and nonunion (p >0.05). The surgical time and bleeding amount were significantly shorter in the IMN group compared to the other groups (p <0.05). A statistically significantly short union time was observed in both plating groups compared to IMN (p <0.05), but it was not different between single and dual plating (p >0.05). Conclusion: Regardless of the implant used, good reduction and stable fixation, respect for the soft tissue and use of the implant in accordance with the surgical technique are sufficient to achieve union in the surgical treatment of humeral shaft fractures.
dc.identifier.doi10.29271/jcpsp.2023.11.1315
dc.identifier.endpage1320
dc.identifier.issn1022-386X
dc.identifier.issn1681-7168
dc.identifier.issue11
dc.identifier.pmid37926888
dc.identifier.scopus2-s2.0-85176352217
dc.identifier.scopusqualityQ2
dc.identifier.startpage1315
dc.identifier.urihttps://doi.org/10.29271/jcpsp.2023.11.1315
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24397
dc.identifier.volume33
dc.identifier.wosWOS:001150198900020
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherColl Physicians & Surgeons Pakistan
dc.relation.ispartofJcpsp-Journal of The College of Physicians and Surgeons Pakistan
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectHumeral shaft fracture; Surgical treatment options; Comparison; Outcomes
dc.titleComparison of the Locking Intramedullary Nailing, Single Plate and Double Plate Osteosynthesis in Treatment of Humerus Shaft Fractures
dc.typeArticle

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