Intramedullary nailing versus plate fixation for humeral shaft fractures in geriatric patients: a retrospective cohort study assessing functional outcomes and complication rates

IMN offers faster surgery and lower infection risk but higher shoulder morbidity. Plate fixation excels in complex fractures with better functional scores but longer operative duration and infection risk. Considering these factors, DCP may be the preferred approach in older adults compared to IMN, particularly when functional optimization is a priority. The choice of surgical technique should be guided by fracture characteristics, patient's specific factors, and surgeon expertise.