Nailing vs. Plating for Humeral Shaft Fractures: A Comprehensive Review

Authors: Sahoo SS*, Roy M and Mandal S

DOI: 10.23880/jobd-16000275

Volume 8, Issue 4

Abstract

Humeral shaft fractures require surgical intervention for optimal functional recovery. This review compares intramedullary nailing (IMN) and open reduction internal fixation (ORIF) with plating, focusing on their biomechanical advantages, healing timelines, complication profiles, and cost-effectiveness. IMN provides central bone support, promoting faster recovery through minimal soft tissue disruption, though it may result in rotator cuff complications and higher radiation exposure. Plating, despite requiring more invasive techniques, offers precise alignment in complex fractures. Both methods show comparable union rates, with treatment choice depending on fracture characteristics and patient factors. This review aims to guide clinical decision-making in humeral shaft fracture management.

Keywords: Humeral Shaft Fracture; Intramedullary Nailing; Open Reduction Internal Fixation; Plating, Biomechanical Stability

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