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CTRI Number  CTRI/2026/01/100882 [Registered on: 12/01/2026] Trial Registered Prospectively
Last Modified On: 11/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Comparison Between Outcomes of Intramedullary Nailing versus Plating in Humeral Shaft Fractures 
Scientific Title of Study   A Comparative Study of Functional and Radiological Outcomes of Intramedullary Nailing versus Plating in Humeral Shaft Fractures 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Bakshi Anushka 
Designation  postgraduate 
Affiliation  Vinayaka Mission Kirupananda Variyar Medical college and hospital 
Address  Department of Orthopaedics Vinayaka Mission Kirupananda Variyar Medical college and hospital chinnaseeragapadi salem

Salem
TAMIL NADU
636308
India 
Phone  8340519475  
Fax    
Email  anushkal.bakshi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Hari Sivanandan 
Designation  head of department orthopaedics  
Affiliation  Vinayaka Mission Kirupananda Variyar Medical college and hospital 
Address  department of orthopaedics Vinayaka Mission Kirupananda Variyar Medical college and hospital chinnaseeragapadi salem

Salem
TAMIL NADU
636308
India 
Phone  9790449375  
Fax    
Email  sivadr1983@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Bakshi Anushka 
Designation  postgraduate 
Affiliation  Vinayaka Mission Kirupananda Variyar Medical college and hospital 
Address  department of orthopaedics Vinayaka Mission Kirupananda Variyar Medical college and hospital chinnaseeragapadi salem

Salem
TAMIL NADU
636308
India 
Phone  8340519475  
Fax    
Email  anushkal.bakshi@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Bakshi Anushka 
Address  Vinayaka Mission Kirupananda Variyar Medical college and hospital chinnaseeragapadi salem tamil nadu india 636308 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Bakshi Anushka  Vinayaka Missions Kirupananda Variyar Medical College and Hospitals  department of orthopaedics, Vinayaka Missions Kirupananda Variyar Medical College and Hospitals ChinnaSeeragapadi Salem
Salem
TAMIL NADU 
8340519475

anushkal.bakshi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S423||Fracture of shaft of humerus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1 acute diaphyseal humeral shaft fracture
2 pt consenting for participation and followup
3 fracture amenable to both nailing and plating 
 
ExclusionCriteria 
Details  1 Patient age less than 18 or more than 65
2 Patients with conditions compromising healing.
3 Previous humeral surgeries or pathology.
4 Pathological or metastatic fractures.
5 Patients not consenting for participation and follow up.
6 Patients medically unfit for surgery. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
IMN will be associated with shorter operative time, lesser soft tissue trauma, lower infection rates, and faster return to function in some cases.
Plating may show better anatomical reduction, especially in complex or comminuted fractures, with slightly faster radiological union. 
3 months  
 
Secondary Outcome  
Outcome  TimePoints 
IMN will be associated with lower infection rates, & faster return to function in some cases.
Plating may show better anatomical reduction, especially in complex or comminuted fractures, with slightly faster radiological union in certain subgroups.
 
6 months 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   22/01/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   In humeral shaft fractures, two primary modalities of surgical fixation are widely practiced: intramedullary nailing (IMN) and plating (using dynamic compression or locking compression plates). Each method has distinct advantages  but despite multiple studies and analyses, there is no clear consensus on the superiority of one method over the other. This study aims to compare the functional and radiological outcomes, union rates, and complication profiles between the two methods followed. 
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