Comparison of Results of Intramedullary Nailing with Plate Osteosynthesis in the Treatment of Fracture Shaft of Humerus

Modi, Dhaval R; Patel, Rukesh R; Solanki, Dr. Rushi; Mandalia, Manthan; Chaudhary, Ankit

doi:10.15373/22778179/august2014/80

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“…Modi et al compared the outcome of titanium elastic nail and plate in the adult shaft humerus fractures and concluded that results of titanium elastic nail in union rates and union time were good and comparable to plates with lesser rate of complications, but their usefulness is limited to middle third fractures of humerus. The results of titanium elastic nail depend greatly on jamming of canal, control of rotation, and proximity of fracture to entry point 17 .…”

Section: Discussionmentioning

confidence: 99%

Use of Titanium Elastic Nails in the Adult Diaphyseal Humerus Fracture

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2017

MOJ

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Introduction: Humerus shaft fractures in adults can be managed conservatively with functional braces or operatively with plate osteosynthesis or with intramedullary nailing. Conventionally humerus intramedullary nailing is done either using humerus interlocking nails or Enders nails. In this study we analyse the outcome of humerus shaft fractures (upper and middle third) managed with closed ante-grade intramedullary titanium elastic nailing in terms of union rates, union time, functional results and complications.Materials and Methods: A retrospective analysis of 25 patients treated with ante-grade intramedullary titanium elastic nailing was done during the period of August 2014 to June 2016 at our tertiary care centre. Skeletally mature patients with closed and acute fractures of the upper and middle shaft humerus of both sexes were included in the study.Results: Twenty-five (100%) fractures united with an average consolidation time of 14.98 weeks (10-32 weeks), and no fractures ended in non-union. Nail impingement was seen in two (8%), shoulder stiffness in one (4%). Functional results were excellent in 22 (88%), moderate in two (8%) and poor in one (4%). There were 17 males and eight females with an average age of 39.08 years (range: 18-65 years). The average duration of hospital stay was 3.84±2.30 days.Conclusion: Closed ante-grade intramedullary titanium elastic nailing offers a safe and reliable method of fixing fractures of upper humeral shaft in adults. This method provides early fracture union, high union rates and less complications, in addition to early rehabilitation and reduces the hospital stay.

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Section: Discussionmentioning

confidence: 99%