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Abstract—
Background:
Humeral shaft fractures are common orthopedic injuries that can be managed through conservative or surgical methods. Intramedullary nailing has become a widely accepted surgical technique due to its minimally invasive nature, preservation of fracture hematoma, and early mobilization. The procedure can be performed using either an antegrade or retrograde approach, and the optimal technique remains a subject of discussion among orthopedic surgeons.
Objectives:
To compare the functional and radiological outcomes of antegrade intramedullary nailing and retrograde intramedullary nailing in the management of humeral shaft fractures.
Methods:
This prospective comparative study included 40 patients with humeral shaft fractures treated at a tertiary care center. Patients were divided into two groups: antegrade intramedullary nailing (AIN, n=20) and retrograde intramedullary nailing (RIN, n=20). Patients were evaluated based on operative time, intraoperative blood loss, radiological union, functional outcome using the ASES score, and pain assessment using the VAS score. Follow-up was conducted for a minimum period of six months.
Results:
The mean operative time in the AIN group was 52 minutes compared to 67 minutes in the RIN group. Mean intraoperative blood loss was lower in the AIN group (85 mL) compared to the RIN group (110 mL). Functional outcomes were better in the AIN group with a higher mean ASES score (90) compared to the RIN group (85). Pain scores measured using the VAS scale were also lower in the AIN group at final follow-up. Radiological union and overall complication rates were comparable between the two groups.
Conclusion:
Both antegrade and retrograde intramedullary nailing are effective treatment options for humeral shaft fractures with comparable union rates and safety profiles. However, antegrade intramedullary nailing demonstrated shorter operative time, reduced blood loss, and better functional outcomes, making it a more favourable technique for fracture fixation.
"A COMPARATIVE STUDY BETWEEN ANTEGRADE AND RETROGRADE INTRAMEDULLARY NAILING IN MANAGEMENT OF HUMERUS SHAFT FRACTURE FIXATION", International Journal for Research Trends and Innovation (www.ijrti.org), ISSN:2456-3315, Vol.11, Issue 3, page no.a532-a538, March-2026, Available :http://www.ijrti.org/papers/IJRTI2603068.pdf
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ISSN:
2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator