• Wonyong Lee, Jun-Young Park, and Yong-Min Chun.
• *Department of Orthopaedic Surgery, Arthroscopy and Joint Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea; and †Department of Orthopaedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
• J Orthop Trauma. 2017 Sep 1; 31 (9): e270-e274.

ObjectiveTo compare the outcomes of patients who underwent either open reduction internal fixation with a locking plate and screws or closed reduction internal fixation with an antegrade intramedullary nail (IMN) for displaced surgical neck fracture of the humerus.DesignRetrospective comparative study.SettingSingle institute, Level-I academic trauma center.Patients And InterventionSixty-nine patients with 2-part surgical neck fracture of the humerus underwent either an IMN (38 patients group A) or a locked plate fixation (31 patients group B).Outcomes MeasurementPain on a visual analog scale, University of California Los Angeles (UCLA) Shoulder Score, American Shoulder and Elbow Surgeons (ASES) score, and active range of motion (ROM).ResultsAt the 2-year follow-up, there were no significant differences in the visual analog scale pain score (1.3 in group A; 0.9 in group B), ASES score (90.2 in group A; 91.9 in group B), and UCLA Shoulder Score (30.7 in group A; 31.8 in group B) between groups. Active ROM did not differ significantly between groups. There were 3 complications in the IMN group, 1 nonunion requiring autogenous iliac crest bone graft, and 2 cases of screw loosening.ConclusionsFor displaced surgical neck fractures of the humerus, both IM nailing and locked plate fixation in patients yielded satisfactory outcomes at the 2-year follow-up with no significant differences in pain or ROM between groups.Level Of EvidenceTherapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

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