Nonunion and Postoperative Complications Associated With Intramedullary Nailing Versus Plate Fixation of Humeral Shaft Fractures.

ABSTRACT:

Background

Understanding the outcomes of humeral shaft fracture treatment using open reduction and internal fixation (ORIF) or intramedullary nailing (IMN) is essential for optimizing patient management strategies. The aim of this study was to identify the outcomes following plate fixation versus IMN in humeral shaft fractures.

Methods

A retrospective cohort study was conducted using electronic medical records from January 2005 to March 2023. A propensity score match was performed based on demographic variables and comorbidities. The primary outcome measured was nonunion. Secondary outcomes included malunion, radial nerve palsy, surgical site infections, wound dehiscence, and revision surgery rates.

Results

Following propensity matching, the study analyzed 6592 patien

SUBMITTER: Marmor WA 

PROVIDER: S-EPMC12614682 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature