Online ISSN: 2515-8260

Keywords : Intramedullary Nailing

Intramedullary Nailing Versus Plating for Treatment of Humeral Shaft Fractures in Adults

Mohammed Othman Mohammed, HosamFathiMahmmod, Ahmed Hatem Farhan Imam, Faraj Abdulsalam Faraj Almantasir

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 2879-2889

Background:A fracture of the humerus shaft is commonly encountered by orthopedic
surgeons and the successful treatment of a humeral shaft fracture demands a knowledge
of anatomy, surgical indications, techniques and implants, patient functions and
expectations. The aim of the current study was to compare the outcome of interlocking
intramedullary nailing versus plating of diaphyseal humeral shaft fracture in adults
Patients and Methods: This prospective clinical trial was carried in Orthopedic
Department, Zagazig Universityin Egypt Hospitals and Alwahda Hospital in Libya, on 36
cases with Humeral shaft fractures Group 1: included 18 patients managed by
Intramedullary Nailing, Group 2: included 18 patients managed by plating during the
period from March 2020 to December 2020.Patients were followed post operatively for
union, and clinical assessment was done using The American Shoulder and Elbow
Surgeons scale.
Results:Radial nerve injury was significantly higher in plate group and delayed union and
nonunion was higher in nail with no significant.Excellent represent 72.2% in nail group
and 66.7% in plate group, good represent 11.1% of both groups and fair founded 16.7% in
plate group and 5.6% in nail group 2 cases were poor in Nail and 1 case was poor in plate
Nail group was significantly associated with satisfaction.
Conclusion: The intramedullary nail fixation for humerus is treatment of choice in
osteoporotic bone, less rate of infection less blood loss, however it associated with higher
incidence of shoulder discomfort, and more malunion and non unuon rate

Treatment of Extra Articular Distal Tibial Fractures Using Plating and Intramedullary Nailing

Abde lrahim Elmabrouk Muftah Salem; Elsayed Abdelmoty Mohammed , Mohamed Elsadik Attia, Sameh Mohamed Holyl

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 3009-3022

Background:Distal tibial fractures are the most common long bone fractures. An incidence of 17 per 100 000 person-years, although more recent data indicate that the incidence may be declining.The tibia is the second largest bone in the body. There are two concave condyles at the proximal aspect of the tibia. The medial condyle is larger, deeper, and narrower than the lateral condyle. An elevated process, the tibial tubercle, located between the two condyles is the site of attachment of the patellar tendon. The shaft of the tibia is prismoid, with a broad proximal extent that decreases in size until the distal third, where it gradually increases in size. The tibial crest is prominent medially from the tibial tubercle to the tibial plafond and is subcutaneous without any overlying muscles.The slightly expanded distal end of the tibia has anterior, medial, posterior, lateral and distal surfaces. The distal end of the tibia, when compared to the proximal end, is laterally rotated (tibial torsion). The torsion begins to develop in utero and progresses throughout childhood and adolescence till skeletal maturity is attained.minimal invasive plate fixation (MIPO) is recommended to limit this complication and given more stability. The basic principles of this technique include in direct closed reduction, extra periosteal dissection, anatomic alignment. Plate length and screw density are key factors for the stability of fixation.Comminuted fibular fractures fixed with MIPO technique using a long bridging plate, or intramedullary fixation of the fibula with a small diameter flexible nail