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Prospective comparative study between antegrade interlocking undreamed nail versus compression plate fixation of acute closed humeral mid third shaft humerus in adults

Ahmad Yaseen Shukur, 1 Ghadeer H. Majeed, Mohammed Sh. Al-Edanni, Sadiq A. Al-Muktar, Abdulkadr Muhammed Sleman Alany, Muthanna H. Dawood.

Abstract
Objective: To assess the functional outcome, time to union, shoulder pain, blood loss, operative time, iatrogenic radial nerve injury, hospitalization, and infection.
Methodology: It is a prospective randomized study on 30 patients with mid-shaft humerus fracture according to AO classification (1.2A1, 2, 3 and 1,2B) with functioning radial nerve. They were randomly dividing into two groups. Group A were treated by a closed antegrade interlocking nail, and group B treated by open reduction and locked compression plate fixation. The follow-up was up to 6 months, including time to union, shoulder pain, intraoperative blood loss, operative time and iatrogenic radial nerve injury. Functional outcome was assessed by quick DASH score.
Results: Road traffic accident was the main cause of trauma (70%). The average time to union were statistically not different in both groups. Quick DASH score was good in both groups and statistically not significant. Shoulder pain in group A was (40%), while none patient in group B (p>0.017). The operative period time, mean hospital stays, and blood loss of group B were significantly higher than in group A
Conclusion: Nailing is minimally invasive, has less infection rate, iatrogenic nerve injury, operative time, intraoperative blood loss, and hospitalization.

Key words: Antegrade nailing, diaphyseal fracture humerus, locked plate fixation.


 
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How to Cite this Article
Pubmed Style

Shukur AY, Majeed GH, Al-Edanni MS, Al-Muktar SA, Alany AMS, Dawood MH. Prospective comparative study between antegrade interlocking undreamed nail versus compression plate fixation of acute closed humeral mid third shaft humerus in adults. RMJ. 2022; 47(4): 911-916. doi:10.5455/rmj.92848.20220801090327

Web Style

Shukur AY, Majeed GH, Al-Edanni MS, Al-Muktar SA, Alany AMS, Dawood MH. Prospective comparative study between antegrade interlocking undreamed nail versus compression plate fixation of acute closed humeral mid third shaft humerus in adults. https://www.rmj.org.pk/?mno=92848 [Access: November 12, 2022]. doi:10.5455/rmj.92848.20220801090327

AMA (American Medical Association) Style

Shukur AY, Majeed GH, Al-Edanni MS, Al-Muktar SA, Alany AMS, Dawood MH. Prospective comparative study between antegrade interlocking undreamed nail versus compression plate fixation of acute closed humeral mid third shaft humerus in adults. RMJ. 2022; 47(4): 911-916. doi:10.5455/rmj.92848.20220801090327


Vancouver/ICMJE Style

Shukur AY, Majeed GH, Al-Edanni MS, Al-Muktar SA, Alany AMS, Dawood MH. Prospective comparative study between antegrade interlocking undreamed nail versus compression plate fixation of acute closed humeral mid third shaft humerus in adults. RMJ. (2022), [cited November 12, 2022]; 47(4): 911-916. doi:10.5455/rmj.92848.20220801090327


Harvard Style

Shukur, A. Y., Majeed, . G. H., Al-Edanni, . M. S., Al-Muktar, . S. A., Alany, . A. M. S. & Dawood, . M. H. (2022) Prospective comparative study between antegrade interlocking undreamed nail versus compression plate fixation of acute closed humeral mid third shaft humerus in adults. RMJ, 47 (4), 911-916. doi:10.5455/rmj.92848.20220801090327


Turabian Style

Shukur, Ahmad Yaseen, Ghadeer H. Majeed, Mohammed Sh. Al-Edanni, Sadiq A. Al-Muktar, Abdulkadr Muhammed Sleman Alany, and Muthanna H. Dawood. 2022. Prospective comparative study between antegrade interlocking undreamed nail versus compression plate fixation of acute closed humeral mid third shaft humerus in adults. Rawal Medical Journal, 47 (4), 911-916. doi:10.5455/rmj.92848.20220801090327


Chicago Style

Shukur, Ahmad Yaseen, Ghadeer H. Majeed, Mohammed Sh. Al-Edanni, Sadiq A. Al-Muktar, Abdulkadr Muhammed Sleman Alany, and Muthanna H. Dawood. "Prospective comparative study between antegrade interlocking undreamed nail versus compression plate fixation of acute closed humeral mid third shaft humerus in adults." Rawal Medical Journal 47 (2022), 911-916. doi:10.5455/rmj.92848.20220801090327


MLA (The Modern Language Association) Style

Shukur, Ahmad Yaseen, Ghadeer H. Majeed, Mohammed Sh. Al-Edanni, Sadiq A. Al-Muktar, Abdulkadr Muhammed Sleman Alany, and Muthanna H. Dawood. "Prospective comparative study between antegrade interlocking undreamed nail versus compression plate fixation of acute closed humeral mid third shaft humerus in adults." Rawal Medical Journal 47.4 (2022), 911-916. Print. doi:10.5455/rmj.92848.20220801090327


APA (American Psychological Association) Style

Shukur, A. Y., Majeed, . G. H., Al-Edanni, . M. S., Al-Muktar, . S. A., Alany, . A. M. S. & Dawood, . M. H. (2022) Prospective comparative study between antegrade interlocking undreamed nail versus compression plate fixation of acute closed humeral mid third shaft humerus in adults. Rawal Medical Journal, 47 (4), 911-916. doi:10.5455/rmj.92848.20220801090327





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