COMPARISON OF FUNCTIONAL OUTCOME BETWEEN DCP AND INTRAMEDULLARY NAIL IN THE TREATMENT OF SIMPLE TRANSVERSE HUMERUS FRACTURE

Abstract

ABSTRACT

OBJECTIVE: To compare functional outcome in patients managed with dynamic compression plating or locked intramedullary nailing for humeral shaft transverse fractures in Ghurki Trust Teaching Hospital.

METHODS: This randomised control trial was conducted in Ghurki Trust Teaching Hospital, Lahore  from  September 15 to March 15, 2020. Patients of either gender and all ages with humerus shaft  transverse fracture fulfilling the inclusion criteria were assessed and treated with either DCP or locking intramedullary nail. Post-operative functional outcome was graded as excellent,good, fair and poor.

Results: The total number of patients in our study were 60. Mean age was 38.7±12.79 years. Male patients were 45(75%) and female 15(25%). Mean follow up period  minimum was of 6 months.In the Intramedullary nail group(I), the  Neer scores were 13 (43.3%) excellent,11 (36.7%) good, 4 (13.3 %) fair and 2( 6.7%) poor. Whereas, functional outcome  Neer scores of Dynamic compression plate group (II) were 23(76.7%) excellent,6 (20%) good, and only single case( 3.3%) shows poor result.

Conclusion: The functional outcome with both modalities were excellent with mean Neer score of respective Nail and DCP with 85.90% and 91.03%.