Fracture Union in Closed Interlocking Nail in Humeral Shaft Fractures

Abstract

Background:Fracture shaft humerus is a major cause of morbidity in patients with upper extremity injuries. The aim of this study was to evaluate the outcome of interlocking nail in humeral shaft fractures.Methods:This study was conducted in the Department of Orthopedic Surgery in SMS and R Sharda University from January 2010 to November 2013. Seventy-eight patients were recruited from emergency and out-patient department having a close fracture of humerus shaft. All patients were operated under general anesthesia and closed reamed interlocking nailing was done. All patients were followed for 9 months.Results:Out of 78 patients, 69 patients underwent union in 90–150 days with a mean of 110.68 days. Complications found in four patients who had nonunion, and five patients had delayed union, which was treated with bone grafting. All the patients were assessed clinically and radiologically for fracture healing, joint movements and implant failure. The results were excellent in 88.46% and good in 6.41% patients. Complete subjective, functional, and clinical recovery had occurred in almost 100% of the patients.Conclusions:The results of the present study indicates that in the presence of proper indications, reamed antegrade intramedullary interlocked nailing appears to be a method of choice for internal fixation of osteoporotic and pathologic fractures.

Is locked compressive intramedullary nailing for adult humerus shaft fractures advantageous?

“…Moreover, Sahu et al [20] applied intramedullary locking nail to 78 patients with humerus shaft fractures and the time to fracture union was reported as mean 110 days (range 90 to 150 days). In another study, time to union was reported as mean 126 days (range 56 to 252 days).…”

Role of closed intramedullary interlocking nailing in comminuted fractures of long bones in lower limbs

“…Similar results were found in study conducted by Sahu RL et al, in which the average duration of PWB was 6 weeks and study by Raghavendra B et al, in which average time for PWB was 4 weeks. 8,14 The average duration of full weight bearing in femur fractures was 10.15 weeks and in tibia fractures was 12.65 weeks. Similar results were were found in study conducted by Al-Algawy-Alla AH, in which average duration of FWB was found out to be 13.2 weeks and study by Raghavendra B et al in which average time for FWB was 10.81 weeks.…”

Treatment of Humeral Shaft Fractures: Antegrade Interlocking Intramedullary Nailing with Additional Interlocking Neutralization Screws through Fracture Site

“…Intramedullary nailing has shown some advantages in terms of biological fixation with preservation of blood supply 8 . Intramedullary nail is a load-sharing device and should be considered as the treatment of choice for pathological fractures as well 9 . There are two insertion possibilities of humeral intramedullary nails: antegrade insertion with entry point at the shoulder and retrograde insertion with entry point at the elbow, each associated with entry site morbidity 10 .…”