• Haci Bayram Tosun, Sancar Serbest, Mehmet Mete Yasar, Abuzer Uludag, and Galip Ersoz.
• Department of Orthopaedics and Traumatology, Elazig Fethi Sekin Training and Research Hospital, Elazig, Turkey.
• J Coll Physicians Surg Pak. 2023 Nov 1; 33 (11): 131513201315-1320.

ObjectiveTo compare the clinical and radiographic outcomes between patients treated with single plate osteosynthesis, double plate osteosynthesis, and antegrade locked intramedullary nailing (IMN) in treatment of humerus diaphyseal fractures.Study DesignDescriptive study. Place and Duration of the Study: Department of Orthopaedics and Traumatology, Adiyaman University Training and Research Hospital, Adiyaman, Turkey, between 2014 and 2020.MethodologyA total of 99 patients with humerus diaphyseal fractures were retrospectively evaluated. Forty-six had been treated with single plating, 24 were treated with double plating, and 29 with IMN. The outcomes were evaluated in terms of the union time, union rate, complications, and Disabilities of the Arm, Shoulder, and Hand (DASH) functional scores.ResultsThe average union time was 17 weeks and nonunion rate was 6% of patients. There was no significant difference between the groups in terms of DASH functional score and nonunion (p >0.05). The surgical time and bleeding amount were significantly shorter in the IMN group compared to the other groups (p <0.05). A statistically significantly short union time was observed in both plating groups compared to IMN (p <0.05), but it was not different between single and dual plating (p >0.05).ConclusionRegardless of the implant used, good reduction and stable fixation, respect for the soft tissue and use of the implant in accordance with the surgical technique are sufficient to achieve union in the surgical treatment of humeral shaft fractures.Key WordsHumeral shaft fracture, Surgical treatment options, Comparison, Outcomes.

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