Management of Humeral Shaft Fractures With Intramedullary Interlocking Nail Versus Locking Compression Plate.

@article{Fan2015ManagementOH,
  title={Management of Humeral Shaft Fractures With Intramedullary Interlocking Nail Versus Locking Compression Plate.},
  author={Yu Fan and Yue-Wang Li and Hong Zhang and Jian-fei Liu and Xiangzhen Han and Xiao Chang and Xisheng Weng and Jin Lin and Bao-zhong Zhang},
  journal={Orthopedics},
  year={2015},
  volume={38 9},
  pages={
          e825-9
        }
}
Surgical fixation of humeral shaft fractures generally involves plating or nailing. It is unclear whether one method is more effective than the other. The aim of this study was to compare the results of the intramedullary nail and locking compression plate for the treatment of humeral shaft fractures. A total of 60 patients with humeral shaft fractures were randomized to undergo surgery with an intramedullary interlocking nail (n=30) or locking compression plate (n=30). The outcome was assessed… 
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Intramedullary Nailing Vs Plate Fixation for the Treatment of Humeral Shaft Fractures; which One is Better?
TLDR
Patients in the IMN group showed higher ASES score and better overall shoulder function and the functional outcomes were evaluated using the American Shoulder and Elbow Surgeons (ASES) score and pain score.
Comparative study of operative management of humeral shaft fractures by dynamic compression plating versus locked intra-medullary nailing
TLDR
Intra-medullary nailing turned out to be superior to plating for amenable diaphyseal fractures of humerus in terms of higher rate of union, early union and lesser complications.
Intramedullary nailing versus a locking compression plate for humeral shaft fracture (AO/OTA 12-A and B): A retrospective study.
Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study
TLDR
Despite a shorter operative time and lower blood loss during locked intramedullary nail fixation in the management of humeral shaft fractures, MIPO enables more superior shoulder function with better fracture healing and lower morbidities.
Outcome of Humeral Shaft Fracture Treated with Intramedullary Nail and Plate Fixation.
TLDR
IMN fixation led to a significant decrease in intraoperative blood loss, shorter operating time, hospital stay, union time, and a lower rate of overall complications, suggesting that IMN may be a better choice of internal fixation as it also accelerates the patients' recovery, and increases their satisfaction.
Functional outcome of antegrade interlocking intramedullary nailing for humeral shaft fractures
TLDR
Gentle progressive reaming, correct entry point, minimal damage to rotator cuff, properly embedding the tip of the nail, good apposition of fracture fragments, static locking will help make antegrade intramedullary nailing, a dependable solution for the treatment of humeral shaft fractures and in achieving successful union with preserved/good shoulder and elbow function.
Locking compression plate fixation versus intramedullary nailing of humeral shaft fractures: which one is better? A single-centre prospective randomized study
TLDR
Both procedures are favourable surgical options for patients with humeral shaft fractures, and the LCP group had significantly better shoulder function than theILN group, whereas the ILN group hadificantly less pain, with similar complication rates.
Plates vs. nails in humeral shaft fractures: Do plates lead to a better shoulder function?
Arthroscopy-assisted versus standard intramedullary nail fixation in diaphyseal fractures of the humerus
TLDR
Arthroscopy-assisted technique may be an applicable and safe method owing to its cosmetic advantages and more satisfactory postoperative shoulder functions subsequent to less injury to deltoid, rotator cuff, and other soft tissue, as compared to conventional anterograde approach.
COMPARISON OF THE RESULTS OF SURGICAL TREATMENT OF HUMOROUS FRACTURES BY INTRAMEDULLARY NAILING AND PALATE
TLDR
The present study results showed that the rate of intraoperative bleeding and duration of surgery in the IMN group was signicantly lower than the DCP group, and there was no signi-cant difference between the two groups in terms of length of hospital stay and functional criteria.
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References

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TLDR
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TLDR
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TLDR
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