Clinical Comparison of Minimally Invasive Plate Fixation of Humeral Shaft Fracture and Interlocking Intramedullary Nail Fixation

Objective:To compare the treatment of intramedullary nail fixation and minimally invasive plate fixation of humeral shaft fractures in clinical effect.Method:70 patients with humeral shaft fractures treated in our hospital from August 2011 to January 2013 were divided into the observation group(n=38) and the control group(n=32) according to random number table method. The observation group was treated with intramedullary nail fixation treatment, the control group was treated with minimally invasive plate fixation, the two groups were recorded operative time, blood loss, complications, fracture healing time, rate of fracture healing, shoulder function score, and evaluated the effect of different fixation methods.Result:The operation time was(94±30) min, blood loss was(76±51) mL in the observation group; the control group were(126±37)min and(138±57) mL, the observation group' operative time and blood loss were significantly less than the control group(P0.05).The observation group' fracture healing time was(10.27±1.76) weeks and shoulder function score was(97 ± 5) scores, the control group were(10.45±2.22) weeks,(95±6) scores, the two groups in fracture healing time and shoulder function score were not statistically significant(P0.05). The complication rate of the observation group was 15.8%, the control group' complication rate was 21.9%, the two groups had no statistically significant(P0.05).Conclusion:Minimally invasive plate fixation compared with humeral shaft fracture, although the treatment of intramedullary nailing in fracture healing time and shoulder function score no significant difference, but it can effectively shorten the operation time, reduce blood loss, and reduce the incidence of complications, it is worth in the clinical symptoms of the patient, a reasonable choice.