Experimental and clinical study of two internal fixation methods for humerus fracture / 第三军医大学学报

ABSTRACT

Objective To search for a better internal fixation method in the treatment of humeral shaft fracture by comparing biomechanics and clinical results of fracture fixation with rectangle intramedullary nail and compressed plate. Methods ①Fracture models were produced in 24 wet humeral bones of adult cadavers. The models were randomly divided into two groups fixed with rectangle intramedullary nail and compressed plate respectively. Four-point bending test, twisting test and pull test were performed on the facture models after fixation and another 12 intact wet humeral bone specimens. ②The humeral shaft fracture patients were treated with rectangle intramedullary nail (92 cases) and compressed plate (78 cases). The experimental and clinical data were analyzed and compared. Results The statistical results of bending test and twisting test revealed that the rectangle intramedullary nail was better than the compressed plate for the fixation of humeral shaft fracture (P0.05). Fracture healing time was 13 weeks in average and the rate of excellent and better function was 91.3% in the rectangle intramedullary nail fixation group, while both were 18.2 weeks and 80.8% respectively in the compressed plate fixation group. Conclusion The rectangle intramedullary nail fixation is more suitable than the compressed plate fixation for the treatment of humeral shaft fracture.