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Humeral Diaphyseal Fracture Nonunion: An Audit of the Outcome from Intramedullary Nailing and DCP Plating
Joint Authors
Micic, Ivan
Kholinne, Erica
Sun, Yucheng
Kwak, Jae-Man
Jeon, In-Ho
Nanda, Akriti
Kim, Hyojune
Koh, Kyoung-Hwan
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-22
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Purpose.
This study aims to compare the functional outcomes of nonunion humeral diaphyseal fractures following conservative treatment when managed surgically with either a plate or intramedullary (IM) nail fixation.
Methods.
This was a retrospective study of 56 patients with nonunion humeral fractures following conservative treatment who underwent plate or IM nail fixation between 2007 and 2014.
Comparison was made for short term profile (intraoperative blood loss, duration of surgery, and length of hospitalization) and long term clinical outcome with functional score (Constant-Murley score (CMS)) and Disabilities of the Arm, Shoulder and Hand (DASH) score).
The union and complication rate were also compared.
Results.
There were 36 and 20 patients included in plate and IM nail fixation group with the average of 36.14 ± 7.54-month follow-up time.
The intraoperative blood loss, duration of surgery, and length of hospitalization were superior in IM nail group compared to plate group (p < 0.001, p < 0.001, and p < 0.001, respectively).
The mean CMS and DASH score were superior in the plate group compared to the IM nail group (82.40 ± 16.84 versus 77.58 ± 12.96; 17.46 ± 11.05 versus 20.86 ± 11.63, respectively; with p = 0.246, p = 0.299, respectively).
Plate fixation group showed higher union rate and complication rate compared to IM nail group (100% versus 90%, 13.8% versus 10%, respectively).
Conclusions.
IM nail and plate fixation demonstrated comparable clinical outcome.
IM nail fixation showed superior short term result with lower complication rate which benefits the elderly group patients with significant comorbidities.
American Psychological Association (APA)
Micic, Ivan& Kholinne, Erica& Kwak, Jae-Man& Sun, Yucheng& Nanda, Akriti& Kim, Hyojune…[et al.]. 2019. Humeral Diaphyseal Fracture Nonunion: An Audit of the Outcome from Intramedullary Nailing and DCP Plating. BioMed Research International،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1128334
Modern Language Association (MLA)
Micic, Ivan…[et al.]. Humeral Diaphyseal Fracture Nonunion: An Audit of the Outcome from Intramedullary Nailing and DCP Plating. BioMed Research International No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1128334
American Medical Association (AMA)
Micic, Ivan& Kholinne, Erica& Kwak, Jae-Man& Sun, Yucheng& Nanda, Akriti& Kim, Hyojune…[et al.]. Humeral Diaphyseal Fracture Nonunion: An Audit of the Outcome from Intramedullary Nailing and DCP Plating. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1128334
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1128334