title: Antegrade interlocking nailing versus dynamic compression plating for humeral shaft fractures.
abstract: OBJECTIVE
  To compare antegrade interlocking nailing with dynamic compression plating for humeral shaft fractures in terms of functional outcomes, union and complication rates.
  
  
  METHODS
  34 men and 22 women aged >18 years with fresh humeral shaft fractures (up to grade IIIa) with or without neurological deficits underwent either antegrade interlocking nailing (n=31) or dynamic compression plating (n=25). Functional outcome of the upper limbs (according to the American Shoulder and Elbow Surgeons [ASES] score), pain, rates of union, and complications in the 2 groups were compared.
  
  
  RESULTS
  Respectively in the nailing and plating groups, mean operating times were 65 and 112 minutes (p<0.001), mean blood loss volumes were 20 and 232 ml (p<0.001), mean ASES scores were 31.4 and 29.0 (p=0.448), complication rates were 20% (6/31) and 24% (6/25) [p=0.900], non-union rates were 13% (4/31) and 8% (2/25) [p=0.625], and delayed union rates were 7% (2/31) and 4% (1/25) [p=0.787].
  
  
  CONCLUSIONS
  Both techniques were appropriate for treating humeral shaft fractures.
authors.affiliation: Department of Orthopaedic Surgery, Post Graduate Institute of Swasthiyog Pratishthan, Miraj, Maharashtra, India.
authors.forename: Sunil G
authors.initials: SG
authors.lastname: Kulkarni
authors.forename: Ankit
authors.initials: A
authors.lastname: Varshneya
authors.forename: Mohit
authors.initials: M
authors.lastname: Jain
authors.forename: Vidhisha S
authors.initials: VS
authors.lastname: Kulkarni
authors.forename: Govind S
authors.initials: GS
authors.lastname: Kulkarni
authors.forename: Milind G
authors.initials: MG
authors.lastname: Kulkarni
authors.forename: Ruta M
authors.initials: RM
authors.lastname: Kulkarni
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000328:Adult; D000368:Aged; D001860:Bone Plates; D004867:Equipment Design; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods; D005594:Fracture Fixation, Intramedullary; D006801:Humans; D006810:Humeral Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016896:Treatment Outcome; D055815:Young Adult