Functional outcome in surgical management of diaphyseal fracture of humerus treated by intramedullary interlocking nail in adults: A prospective study
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 2, Pages 2209-2222
AbstractBackground: General incidence of humeral shaft fractures remain in the area to 1% to 2% of all fractures. Shoulder & elbow stiffness, non-union and mal-union are commonly seen with conservative treatment. Open reduction and internal fixation with plate and screws require extensive soft tissue stripping and high rates of radial nerve palsy. An interlocking intra medullary nail system is an effective and less invasive method with fewer complications. The aim of this study is to document the clinical outcome and complications associated with the use of intramedullary interlocking nail in acute diaphyseal fractures of humerus.
Methods: 30 cases of acute humeral shaft fractures in adults more than 18 were treated by closed reduction and internal fixation by Intra Medullary Interlocking Nail September 2019 to April 2020 at Vijayanagara institute of medical sciences Ballari and followed for a minimum of 6 months. Outcome was assessed by using criterion done by ROMMEN et al. series.
Results: All patients were followed up for an average of 6 to 8 months. Our series consisted of 30 patients, 19 male and 11 females. Mean radiological union in weeks was 13.6. There was one nonunion and one delayed union in our study.
Conclusion: Based on our experience and results, antegrade technique is safe & reliable technique for treating acute humeral shaft fractures. The advantages of intramedullary nailing are minimal surgical exposure, better biological fixation, minimal disturbances of soft tissues and early mobilization of neighbouring joints Interlocking nailing also avoids complications like lack of rotational control, migration of nail and requirement of supplementary bracing.
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