14 research outputs found
INTERLOCKING NAILING OF HUMERAL SHAFT FRACTURES A RETROSPECTIVE STUDY OF 114 PATIENTS
Background: Fractures of the humeral shaft are relatively common
injuries. Literature suggests that humeral shaft fractures represent
approximately 3 % of all fractures. There are several modalities for
the management of diaphyseal humeral fractures. The latest
investigations emphasize the concept of minimal exposure and rigid
fixation. Aim: The aim of the study is to evaluate the results of
antegrade intramedullary nailing in humeral shaft fractures. Design:
A retrospective review Settings: Patients were treated in private
hospital settings by 3 orthopaedics surgeon Material and Methods:
Between 1995 and 2003, the technique of antegrade locked intramedullary
nailing with UHN in humeral shaft fractures was performed on 114
patients. Forty-two (36%) patients sustained multiple traumas, and 22
(19%) fractures were open. The outcomes were evaluated with a mean
follow-up of 41 months. Statistical analysis used: Ranges of results
given Results: In 109 fractures primary union observed. In the other
five patients union achieved after removal of the nail and fixation
with DCP and bone grafting. The average time for union was 13 weeks
(range, 10-36 weeks). One hundred-five patients had excellent or
satisfactory recovery of shoulder and elbow function. Complications
included impingement due to proximal locking screws in two patients and
prominent nail in three patients, transient postoperative radial nerve
palsy in four patients. Conclusions: This study shows that antegrade
locked nailing in humeral shaft fractures are reliable and also
effective in multiply injured patients