Analysis Of Three Treatment Methods For Humeral Shaft Fracture

Objective: To compare the effects of three surgical fixation methods for humeral shaft fracture,and provide reference for selecting appropriate fixation methods for different types of humeral shaft fracture.Methods: From December 2018 to December 2021,74 patients with humeral shaft fractures were treated by surgery in our hospital.The cases were divided into three groups according to the fracture fixation method.Group A was open reduction plate internal fixation(ORIF)group(34 cases),group B was intramedullary nail(IMN)group(22 cases),and group C was external fixator(EF,To analyze the clinical effects of three surgical methods.Results: General data There was no significant difference among the three groups(P>0.05).Perioperative condition: The difference of incision length and bleeding volume among the three groups was statistically significant(P<0.05).The incision length in group C was short and the bleeding volume was less.There was no significant difference among the three groups in terms of operation time,postoperative hospital stay and pain score 3 days after operation(P>0.05),which was comparable.There was a statistically significant difference in the constant score of shoulder joint between the three groups at the first,sixth and last follow-up(P<0.05),and the score of group B at the third follow-up was poor.There was no significant difference among the three groups in the mayo score of elbow joint(P>0.05).There was no significant difference in fracture healing rate and complication rate among the three groups(P>0.05).Conclusion: The three surgical methods have similar results in some clinical indicators.External fixation was more minimally invasive than the other two groups,but too heavy;The score of shoulder joint function was lower after operation;The steel plate can achieve anatomical reduction and cause great trauma.The fracture healing rate and complications have similar effects.The three methods have their own advantages.The selection of surgical methods should be based on the type of fracture,the experience of the operator and the compliance of the patient to achieve the best clinical treatment effect.