Health Condition 1: S423- Fracture of shaft of humerus Health Condition 2: S423- Fracture of shaft of humerus
Conditions
Interventions
Intervention1: Intramedullary Nailing: Closed or open reduction and internal fixation of humeral shaft fracture using intramedullary interlocking nail. The procedure will be performed under appropriat
Sponsors
Dr Ananth Rao K
Eligibility
Inclusion criteria
Inclusion criteria: 1.Adult patients aged 18 to 70 years. 2.Patients with acute, closed fractures of the humeral shaft. 3.Fractures that are eligible for surgical fixation with either plating or intramedullary nailing. 4.Patients who are medically fit for surgery under anaesthesia. 5.Patients who are willing to provide written informed consent and comply with follow-up protocol.
Exclusion criteria
Exclusion criteria: 1. Open fractures of the humeral shaft. 2. Pathological fractures (e.g., due to malignancy, metabolic bone disease). 3.Polytrauma patients with life-threatening injuries or fractures at multiple sites that may affect rehabilitation. 4.Fractures extending into the proximal or distal humeral metaphysis (non-diaphyseal fractures). 5.Previous surgery or implant in the same humerus. 6.Patients with poor soft tissue coverage at the fracture site. 7.Associated vascular injuries requiring repair. 8.Patients with pre-existing neurological deficits (e.g., radial nerve palsy unrelated to fracture). 9.Patients with significant comorbid conditions contraindicating surgery (e.g., severe cardiac, renal, or pulmonary disease). 10.Uncooperative patients, or those unable to give informed consent or follow up (e.g., severe cognitive impairment, psychiatric illness). 11.Pregnant or lactating women.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the outcomes of Humeral shaft fractures treated with intramedullary nailing and Plate fixation in terms of 1. Bony Union using Radiological Scoring system 2. Functional outcome using Range of motion ,Visual analogue scale score ,Disabilities of the arm ,shoulder and hand Score Timepoint: At post op, 6 weeks, 3 months and 6 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to radiological union Assessed using serial radiographs to determine the time required for fracture union in weeks. Range of motion of shoulder and elbow joint Measured using goniometer during follow up visits.Timepoint: At post op, 6 weeks, 3 months and 6 months. | — |
Countries
India
Contacts
Public ContactDr Nagakumar J S
Sri Devraj Urs Academy of Higher Education and Research
Outcome results
None listed