Preliminary results from osteosynthesis using Ender nails by means of a percutaneous technique, in humeral diaphysis fractures in adults

Abstract

ObjectiveTo demonstrate the clinical and functional results from treatment of humeral diaphysis fractures using Ender nails.MethodsEighteen patients who underwent osteosynthesis of humeral diaphysis fractures using Ender nails were evaluated. In addition to the clinical and radiographic evaluations, patients with a minimum of one year of follow-up were assessed by means of the Constant, American Shoulder and Elbow Surgeons (ASES), Mayo Clinic and Simple Shoulder Value (SSV) functional scores, and in relation to the degree of satisfaction with the final result. The fixation technique used was by means of an anterograde percutaneous route.ResultsAll the patients achieved fracture consolidation, after a mean of 2.9 months (ranging from 2 to 4 months). The mean Constant score was 85.7 (ranging from 54 to 100) and the mean ASES score was 95.9 (ranging from 76 to 100). All the patients achieved the maximum score on the Mayo Clinic scale.ConclusionFixation of humeral diaphysis fractures using Ender nails by means of a percutaneous technique was shown to be a method with promising preliminary results.

Evaluation of the surgical treatment of humeral shaft fractures and comparison between surgical fixation methods

“… 3 The present study corroborates this trend: most patients (56.8%) underwent ORIF with plate fixation. Another possibility for surgical treatment is the use of flexible nails, such as Ender nails, which present good postoperative radiographic and functional results, as recently demonstrated by Godinho et al, 13 besides the implant being cheaper. However, the authors do not have experience with the use of this material for comparison.…”