Abstract:

BACKGROUND: At present, the intramedullary nailing fixation and plate fixation are the two main ways for the fixation of bone fracture. Inter-locking intramedullary nail with its wide indication, small trauma, stable fixation and other advantages has become the gold standard for the treatment of long bone fracture.
OBJECTIVE: To compare the clinical effect of minimally invasive locking plate, expandable intramedullary nail and inter-locking intramedullary nail fixation for the treatment of humeral shaft fracture.
METHODS: Sixty-six patients with humeral shaft fractures were divided into three groups according to different fixation methods. The three groups were treated with minimally invasive locking plate, expandable intramedullary nail and inter-locking intramedullary nail fixation respectively. The routine fix approach was applied in the three groups, and the healing time and the complications in the three groups were compared.
RESULTS AND CONCLUSION: There was no significant difference of the healing time among three groups. There was no significant difference of complications among three groups after fixation (P > 0.05), but different in each group. Through this clinical observation, we can come to conclusion that the methods of three groups have good clinic curative effect in the treatment of humeral shaft fractures. In the clinical treatment, we should choice reasonable fixed way according to the kind of fracture and the extent of the damage.