Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study

Background. Humeral shaft fractures are commonly encountered in casualties. There are different methods of operative internal fixation with no consensus on the best technique. The objective of this study was to assess shoulder function and rate of complications among two different options of fixatio...

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Autores principales:	Hossam Fathi Mahmoud, Ahmed Hatem Farhan, Fahmy Samir Fahmy
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/d085b158205f451c8eb51cff883ecf25
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spelling	oai:doaj.org-article:d085b158205f451c8eb51cff883ecf252021-11-15T01:19:04ZAssessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study2090-347210.1155/2021/9471009https://doaj.org/article/d085b158205f451c8eb51cff883ecf252021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/9471009https://doaj.org/toc/2090-3472Background. Humeral shaft fractures are commonly encountered in casualties. There are different methods of operative internal fixation with no consensus on the best technique. The objective of this study was to assess shoulder function and rate of complications among two different options of fixation, intramedullary nailing, and minimal invasive plate osteosynthesis (MIPO) in young adults. Methods. Forty-two patients with humeral shaft fractures were included in the study and divided into two equal groups: group A treated with antegrade intramedullary locked nails (IMN) and group B with MIPO. Fracture union was evaluated with serial X-rays, and shoulder function was assessed in both groups using the scale of the American Shoulder and Elbow Surgeons (ASES), University of California at Los Angeles Shoulder Scale (UCLA), and visual analog score (VAS). The mean differences between groups were recorded and considered significant if the P value was ˂0.05. Results. The results were reported prospectively with no significant differences in mean age, sex, side of injury, type of fracture, mechanism of injury, and the follow-up period between the groups studied. Group A had shorter operative time and minimal blood loss than group B. Regarding shoulder function scores (ASES, UCLA, and VAS), the results in the MIPO group were better than the IMN group with shorter time of union and fewer complications. Conclusion. 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.Hossam Fathi MahmoudAhmed Hatem FarhanFahmy Samir FahmyHindawi LimitedarticleOrthopedic surgeryRD701-811ENAdvances in Orthopedics, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedic surgery RD701-811
spellingShingle	Orthopedic surgery RD701-811 Hossam Fathi Mahmoud Ahmed Hatem Farhan Fahmy Samir Fahmy Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study
description	Background. Humeral shaft fractures are commonly encountered in casualties. There are different methods of operative internal fixation with no consensus on the best technique. The objective of this study was to assess shoulder function and rate of complications among two different options of fixation, intramedullary nailing, and minimal invasive plate osteosynthesis (MIPO) in young adults. Methods. Forty-two patients with humeral shaft fractures were included in the study and divided into two equal groups: group A treated with antegrade intramedullary locked nails (IMN) and group B with MIPO. Fracture union was evaluated with serial X-rays, and shoulder function was assessed in both groups using the scale of the American Shoulder and Elbow Surgeons (ASES), University of California at Los Angeles Shoulder Scale (UCLA), and visual analog score (VAS). The mean differences between groups were recorded and considered significant if the P value was ˂0.05. Results. The results were reported prospectively with no significant differences in mean age, sex, side of injury, type of fracture, mechanism of injury, and the follow-up period between the groups studied. Group A had shorter operative time and minimal blood loss than group B. Regarding shoulder function scores (ASES, UCLA, and VAS), the results in the MIPO group were better than the IMN group with shorter time of union and fewer complications. Conclusion. 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.
format	article
author	Hossam Fathi Mahmoud Ahmed Hatem Farhan Fahmy Samir Fahmy
author_facet	Hossam Fathi Mahmoud Ahmed Hatem Farhan Fahmy Samir Fahmy
author_sort	Hossam Fathi Mahmoud
title	Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study
title_short	Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study
title_full	Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study
title_fullStr	Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study
title_full_unstemmed	Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study
title_sort	assessment of shoulder function after internal fixation of humeral diaphyseal fractures in young adults: a prospective comparative study
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/d085b158205f451c8eb51cff883ecf25
work_keys_str_mv	AT hossamfathimahmoud assessmentofshoulderfunctionafterinternalfixationofhumeraldiaphysealfracturesinyoungadultsaprospectivecomparativestudy AT ahmedhatemfarhan assessmentofshoulderfunctionafterinternalfixationofhumeraldiaphysealfracturesinyoungadultsaprospectivecomparativestudy AT fahmysamirfahmy assessmentofshoulderfunctionafterinternalfixationofhumeraldiaphysealfracturesinyoungadultsaprospectivecomparativestudy
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Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study

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