Functional outcome of diaphyseal fractures of humerus in adults treated with closed interlocking nails: A prospective study

Diaphyseal fractures of humerus are common, representing 3% all and 20% fractures. Though compression plate osteosynthesis is the gold standard, interlocking intramedullary nailing also a reliable option. In this present study we evaluated functional outcome diaphyseal treated with nails. A total 36 patients humerus, selected between October 2020 to May 2021 were managed by closed nail humerus. This was prospective followed up minimum 6 months. The primary measures assessed using DASH Score (The Disabilities Arm, Shoulder & Hand Score) Constant-Murley scoring system respectively. Secondary outcomes intra-operative conditions such as operative time blood loss post-operative complications. mean radiological union 15.7 weeks ranging from 14-26 weeks. All united including one delayed which at 26 our series, 4 had post shoulder stiffness prominent nail, 1 patient developed radial nerve neuropraxia recovered in 8 on basis Constant Murley score for function score. 69.4% got excellent results, 19.4% good 8.3% moderate/fair results 2.8% poor results. Interlocking relatively quick, minimally invasive, biomechanically sound, cosmetically better method internal stabilization shaft less time, infection lesser threat other Besides it allows early mobilization. With correct anatomical knowledge, preoperative planning, surgical techniques postoperative rehabilitation humeral viable option management fracture promising outcome.