Clinical Outcome of Treatment of Diaphyseal Fractures of Humerus Treated by Titanium Elastic Nails in Adult Age Group

Verma, Amit; Kushwaha, Sudhir S.; Khan, Yasir Ali; Mohammed, Farid; Shekhar, Subhanshu; Goyal, Ankur

doi:10.7860/jcdr/2017/26449.9812

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…The use of EIN only for proximal humerus fracture was also an exclusion criterium. We ended up with seven studies that fulfill our criteria (Table 1) [14][15][16][17][18][19][20]. [15,16,20].…”

Section: Discussionmentioning

confidence: 99%

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Elastic Intramedullary Nails in the Treatment of Multi-Segmental Humeral Fracture in a Polytrauma Patient

Sidiropoulos¹,

Athanaselis²,

Saridis³

et al. 2021

Cureus

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A polytrauma patient with a life-threatening condition is a quite demanding situation due to special considerations regarding the time, the way, and the sequence of the necessary procedures. Elastic intramedullary nails (EIN) could be used under these conditions for adult patients with humeral fractures requiring fixation. Here we present a case of a multi-segmental closed humerus fracture in a polytrauma patient treated by EIN. The general condition of the patient and the need for multiple surgical procedures required the selection of a minimally invasive and time-saving fixation technique. The patient's follow-up was uneventful with complete healing of the humeral fracture; the functional scores results are excellent at five years post operatively. A review of the literature revealed limited published cases of humeral fractures (128 patients) treated by EIN, despite the fact that the results are quite encouraging. Based on our results and the current literature, we believe that EIN could become an effective treatment choice for multi-level humerus fractures, especially in damage control surgery.

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Section: Discussionmentioning

confidence: 99%

“…We ended up with seven studies that fulfill our criteria (Table 1) [14][15][16][17][18][19][20]. [15,16,20]. Nail impingement and elbow stiffness six months post-operatively, were present only in five patients in total, and they were the result of improper surgical technique and rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Elastic Intramedullary Nails in the Treatment of Multi-Segmental Humeral Fracture in a Polytrauma Patient

Sidiropoulos¹,

Athanaselis²,

Saridis³

et al. 2021

Cureus

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“…However, some fracture patterns are not suitable for conservative treatment such as periarticular and long spiral fractures. It has to be emphasized that the outcome of conservative treatment is strongly influenced by patient compliance as well 6,7 . Internal fixation can be performed via intramedullary nailing or plating.…”

Section: Introductionmentioning

confidence: 99%

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

Vidović

Benčić

Ćuti

et al. 2019

ACC

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The aim of this study was to compare union time between two different nail designs for the treatment of humeral shaft fracture, i.e. antegrade interlocking intramedullary nail with and without additional interlocking neutralization screws. The retrospective study included 51 patients treated with antegrade humeral intramedullary nailing between January 2015 and December 2017. The inclusion criteria of the study were proximal and middle third humeral shaft fractures. Fifty-one patients met the inclusion criteria; 23 patients were treated with antegrade intramedullary nail with additional interlocking neutralization screws through fracture site (group A) and 28 patients were treated with antegrade intramedullary nail without additional interlocking neutralization screws (group B). Medical documentation and radiographic images taken preoperatively and postoperatively were reviewed. Radiological union was defined as cortical bridging of at least three of four cortices in two-plane radiographs, with disappearance of the fracture gap. There were no significant differences in union time between the groups (p>0.05). To our knowledge, this is the first report of antegrade interlocking humeral nailing with additional interlocking neutralization screws through fracture site. Hypothetical advantages of fracture gap reduction by additional interlocking neutralization screws to promote union were not confirmed by this first clinical trial.

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Combination of Elastic Nail(s) and Cementoplasty to Treat Pathological Fractures in Long Bones of the Upper Limb

Garnon,

Autrusseau,

Caudrelier

et al. 2024

Cardiovasc Intervent Radiol

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Clinical Outcome of Treatment of Diaphyseal Fractures of Humerus Treated by Titanium Elastic Nails in Adult Age Group

Cited by 3 publications

References 20 publications

Elastic Intramedullary Nails in the Treatment of Multi-Segmental Humeral Fracture in a Polytrauma Patient

Elastic Intramedullary Nails in the Treatment of Multi-Segmental Humeral Fracture in a Polytrauma Patient

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

Combination of Elastic Nail(s) and Cementoplasty to Treat Pathological Fractures in Long Bones of the Upper Limb

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