ArticleAdvances in orthopedics2021
Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study.
Article in Advances in orthopedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 5 citations in OpenAlex.
- Rigid locked antegrade versus retrograde intramedullary nailing in treating acute humeral shaft fractures: a systematic review with meta-analysis.EFORT open reviews · 2026Article
- Anterior Minimally Invasive Plate Osteosynthesis Versus Open Reduction Plate Osteosynthesis in Humeral Diaphyseal Fractures: A Functional and Clinical Analysis.Journal of orthopaedic case reports · 2026Article
- Intramedullary Nailing for Humeral Shaft Fractures: Functional Outcome Assessment Within a Cohort of 202 Patients.Journal of clinical medicine · 2025Article
- Clinical outcomes following intramedullary nailing of humerus fractures: a systematic review.JSES international · 2025Review
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Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHumeral shaft fractures are commonly encountered in casualties. There are different methods of operative internal fixation with no consensus on the best technique. The objective of this study was to assess shoulder function and rate of complications among two different options of fixation, intramedullary nailing, and minimal invasive plate osteosynthesis (MIPO) in young adults.
methodsForty-two patients with humeral shaft fractures were included in the study and divided into two equal groups: group A treated with antegrade intramedullary locked nails (IMN) and group B with MIPO. Fracture union was evaluated with serial X-rays, and shoulder function was assessed in both groups using the scale of the American Shoulder and Elbow Surgeons (ASES), University of California at Los Angeles Shoulder Scale (UCLA), and visual analog score (VAS). The mean differences between groups were recorded and considered significant if the
resultsThe results were reported prospectively with no significant differences in mean age, sex, side of injury, type of fracture, mechanism of injury, and the follow-up period between the groups studied. Group A had shorter operative time and minimal blood loss than group B. Regarding shoulder function scores (ASES, UCLA, and VAS), the results in the MIPO group were better than the IMN group with shorter time of union and fewer complications.
conclusionDespite a shorter operative time and lower blood loss during locked intramedullary nail fixation in the management of humeral shaft fractures, MIPO enables more superior shoulder function with better fracture healing and lower morbidities.
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Registered trials
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