Comparison analysis of using three methods for humeral shaft fracture osteosynthesis

Introduction The tactics of surgical treatment of patients with humeral shaft fractures have beenactively discussed in special scientific literature. The development of new osteosynthesis methods requires their careful comparative evaluation. Purpose To compare the treatment results in the three comparable clinical groups of patients with fractures of the humeral diaphysis in its upper and middle thirds after using a minimally invasive osteosynthesis with a helical plate (MIHPO), locked intramedullary osteosynthesis (LIO) and conventional plating osteosynthesis (CPO). Materials and methods 92 patients with fractures of the humeral diaphysis in its upper and middle thirds were divided into three groups, comparable in number, sex, age, mechanism of injury, location and nature of fractures, according to the osteosynthesis performed: MIHPO (33 patients), LIO (33 Patient) and CPO (26 patients). Terms prior to surgery, intervention time, image intensifier time (IIT), restoration of the humerus anatomy, functional results using DASH and Constant systems, and complications were compared. Control examinations were performed at 1, 6, 12, 18 and 24 weeks after the operation. Clinical, radiographic and statistical methods of study were used. Results Duration of the operation in all three groups did not differ significantly. The IIT was significantly less (p