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Operative Treatment of 2-Part Surgical Neck Fracture of the Humerus: Intramedullary Nail Versus Locking Compression Plate With Technical Consideration

Authors
 Lee, Wonyong  ;  Park, Jun-Young  ;  Chun, Yong-Min 
Citation
 JOURNAL OF ORTHOPAEDIC TRAUMA, Vol.31(9) : e270-e274, 2017 
Journal Title
 JOURNAL OF ORTHOPAEDIC TRAUMA 
ISSN
 0890-5339 
Issue Date
2017
MeSH
Academic Medical Centers ; Adult ; Aged ; Bone Nails ; Bone Plates ; Cohort Studies ; Female ; Fracture Dislocation/diagnostic imaging ; Fracture Dislocation/surgery* ; Fracture Fixation, Internal/instrumentation* ; Fracture Fixation, Internal/methods ; Fracture Fixation, Intramedullary/instrumentation ; Fracture Fixation, Intramedullary/methods* ; Fracture Healing/physiology ; Humans ; Humeral Fractures/diagnostic imaging ; Humeral Fractures/surgery* ; Injury Severity Score ; Intra-Articular Fractures/diagnostic imaging ; Intra-Articular Fractures/surgery ; Male ; Middle Aged ; Pain Measurement ; Range of Motion, Articular/physiology ; Retrospective Studies ; Shoulder Fractures/diagnostic imaging ; Shoulder Fractures/surgery* ; Trauma Centers ; Treatment Outcome
Abstract
OBJECTIVE: To compare the outcomes of patients who underwent either open reduction internal fixation with a locking plate and screws or closed reduction internal fixation with an antegrade intramedullary nail (IMN) for displaced surgical neck fracture of the humerus. DESIGN: Retrospective comparative study. SETTING: Single institute, Level-I academic trauma center. PATIENTS AND INTERVENTION: Sixty-nine patients with 2-part surgical neck fracture of the humerus underwent either an IMN (38 patients group A) or a locked plate fixation (31 patients group B). OUTCOMES MEASUREMENT: Pain on a visual analog scale, University of California Los Angeles (UCLA) Shoulder Score, American Shoulder and Elbow Surgeons (ASES) score, and active range of motion (ROM). RESULTS: At the 2-year follow-up, there were no significant differences in the visual analog scale pain score (1.3 in group A; 0.9 in group B), ASES score (90.2 in group A; 91.9 in group B), and UCLA Shoulder Score (30.7 in group A; 31.8 in group B) between groups. Active ROM did not differ significantly between groups. There were 3 complications in the IMN group, 1 nonunion requiring autogenous iliac crest bone graft, and 2 cases of screw loosening. CONCLUSIONS: For displaced surgical neck fractures of the humerus, both IM nailing and locked plate fixation in patients yielded satisfactory outcomes at the 2-year follow-up with no significant differences in pain or ROM between groups. LEVEL OF EVIDENCE: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00005131-201709000-00010&LSLINK=80&D=ovft
DOI
10.1097/BOT.0000000000000916
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Jun Young(박준영)
Lee, Won Yong(이원용)
Chun, Yong Min(천용민) ORCID logo https://orcid.org/0000-0002-8147-6136
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/160771
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