Treatment of Closed Humeral Shaft Fractures with Intramedullary Elastic Nails

Abstract

We conclude that intramedullary elastic nailing is valid for routine use in appropriately selected humeral shaft fractures.

Surgical treatment of traumatic pediatric humeral diaphyseal fractures with titanium elastic nails

“…At our institution, titanium flexible nails are the preferred implant for stabilizing humeral shaft fractures operatively. While there are a handful of adult case series reporting excellent healing with Enders nails [13,14], there are no dedicated reports in the pediatric literature describing the results of this technique and its complications [10][11][12]. Several small case series have shown the efficacy of this implant in treating pathologic humeral shaft fractures in children and, in particular,in promoting healing in unicameral bone cysts [15][16][17].…”

Humeral Shaft Fractures

“…The authors reported similar outcomes regarding fracture healing time (mean of 11 weeks in both groups) and functional recovery between the two treatment groups. Complications in the plate fixation group included five cases of radial nerve injury, one case of pseudoarthrosis, one case of superficial infection, and a painful, hypertrophic scar in one patient (Zatti et al 1998). In a study by Changulani et al, it was reported that the rate of nerve injury across all ages was nearly identical in patients treated with intramedullary nailing or compression plating.…”

Atrophyc humeral shaft nonunion treated with teriparatide (rh PTH 1-34): A case report

“…6,18,25,31,47 Chapman et al, 9 in a prospective, randomized study comparing intramedullary osteosynthesis versus compression plate for humeral shaft fractures, concluded that both procedures achieved a high degree of union, and that this occurred within 4 months in both groups. In a randomized, controlled study comparing intramedullary osteosynthesis versus compression plate for the treatment of humeral shaft fractures, Changulani et al 8 reported a high degree of union in both groups (85.7% vs 87.5% [P > .05]) with a union time of 6.3 vs 8.9 weeks (P < .001).…”