Interlocking nailing of humeral shaft fractures

Experiences with the Russell-Taylor Nail in Humeral Shaft Fractures - An Analysis of Postoperative Results and Complications

“…All 4 (9.1 %) humeral non-unions were observed in rather simple fractures, e. g., short oblique or transversal humeral shaft fractures. These findings lie in accordance reports from other authors [1,3,23,25,27]. As for us, these findings are reason enough to stop using the dynamic interlocking Russell-Taylor nail.…”

Marchetti nailing of closed fresh humeral shaft fractures

“…Other reported complications have been slip out of the proximal screw, nail breakage, fragment displacement and transient postoperative radial nerve palsy [23]. Functional results obtained with the Seidel nail have been poor, probably because of the surgical approach and inadequate distal locking mechanism [2,3]. The Russell-Taylor humeral nail provide a better distal locking than the Seidel nail.…”

“…Various types of intramedullary nails have been used, including Seidel [1][2][3], Russell-Taylor [4][5][6][7], Ender [8,9], Unreamed Humeral Nail (Synthes) [10,11], True-Flex [12] and Marchetti-Vicenzi [13][14][15][16][17][18][19][20]. Antegrade nailing has resulted in high union rated but impaired shoulder function because of the trauma that can occur to the rotator cuff and possible impingement syndrome [1,4,21].…”

Good results with unreamed nail and bone grafting for humeral nonunion

“…The need for a bone graft is unclear. Thomsen et al (1998) treated 12 nonunions with the Seidel nail. In 9 of them, open reduction and cancellous bone grafting were performed, and in the remaining 3, closed nailing and reaming was done.…”

“…The Seidel nail has been used by many authors for treating of humeral nonunions, but the results have usually not been satisfactory (Crolla et al 1993, Pietu et al 1994, Wu 1996, Emmerson and Sher 1998, Svend-Hansen et al 1998, Thomsen et al 1998. New intramedullary nails permit rigid stabilization of humeral shaft fractures (Rommens et al 1995, Lin et al 1997, Rommens et al 1998, Williams and Shewring 1998, Zatti et al 1998, Gaullier et al 1999, Lin and Hou 1999.…”