Ender nailing of acute fractures of the humerus. A study of closed fixation by intramedullary nails without reaming.

Hall, R; Pankovich, Arsen M.

doi:10.2106/00004623-198769040-00013

Cited by 122 publications

(55 citation statements)

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“…Infection, nonunion and radial nerve palsy are general concerns suggested in the plating group [4,9,16]. But in a published meta-analysis, results of plate fixation from pooled data did not show higher risks of nonunion, infection, or radial nerve palsy [3].…”

Section: Discussionmentioning

confidence: 99%

“…Accepted indications for surgical management of humeral shaft fractures are (i) unsatisfactory alignment or reduction by nonoperative methods, (ii) associated injuries in the extremity requiring early mobilisation, (iii) segmental fracture, (iv) pathological fracture, (v) fracture associated with major vascular injuries, (vi) humeral fractures with radial nerve palsy developing after manipulation or application of cast, (vii) polytrauma and (viii) floating elbow [2,8,9,11,19].…”

Section: Discussionmentioning

confidence: 99%

“…But in a published meta-analysis, results of plate fixation from pooled data did not show higher risks of nonunion, infection, or radial nerve palsy [3]. Restriction of shoulder movements and risk of delayed union have been suggested as concerns with the intramedullary techniques [3,4,7,9,13,16]. Impairment of shoulder function with the antegrade interlocking nails could be because of impingement due to proximal migration of nail, rotator cuff violation, adhesive capsulitis or due to an unexplained cause [6,7,15,17].…”

Section: Discussionmentioning

confidence: 99%

“…Impairment of shoulder function with the antegrade interlocking nails could be because of impingement due to proximal migration of nail, rotator cuff violation, adhesive capsulitis or due to an unexplained cause [6,7,15,17]. This problem can be potentially minimised by using a retrograde technique but carries a risk of elbow movement restriction and fracture at the insertion point [4,9,15]. Some report increased incidence of elbow stiffness with the plating group [7].…”

Section: Discussionmentioning

confidence: 99%

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Nailing versus plating in humerus shaft fractures: A prospective comparative study

Singisetti

Ambedkar

2009

International Orthopaedics (SICOT)

115

106

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There is a debate about the choice of operative intervention in humerus shaft fractures requiring surgical intervention. A prospective, comparative study of management of acute humeral shaft fractures treated by antegrade interlocking nail fixation and dynamic compression plating was undertaken over a period of three years. Twenty patients of interlocking nailing and sixteen patients of plating were included after considering the inclusion and exclusion criteria. Functional scoring criteria were used for postoperative assessment and the average follow-up period was one year. A higher rate of excellent and good results and a tendency for earlier union was seen with the plating group in our series.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Nailing versus plating in humerus shaft fractures: A prospective comparative study

Singisetti

Ambedkar

2009

International Orthopaedics (SICOT)

115

106

View full text Add to dashboard Cite

show abstract

“…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].…”

Section: Introductionmentioning

confidence: 99%

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

Garg

Dobbs

Schoenecker

et al. 2009

Journal of Children's Orthopaedics

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Background Nearly all pediatric humeral shaft fractures can be successfully treated with closed methods. Some patients, however, require internal fixation either because of an inability to maintain an adequate reduction, significant soft tissue injury, or concomitant fractures. Methods This is a retrospective review of all traumatic humeral shaft fractures treated at our hospitals between 1999 and 2006. Thirteen pediatric patients ranging in age from 4.8 to 16.7 years (mean age 12.0 years) were treated surgically with titanium elastic nails (TENs). Relative surgical indications included open fractures, inability to maintain an acceptable reduction, the presence of ipsilateral forearm fractures (floating elbow), concomitant lower extremity fractures, and closed head injury. Two patients had associated radial nerve injury at presentation. Results The patients were followed for a mean of 29 months. All fractures healed in good alignment. There were no intraoperative complications, including neurologic or vascular injury, and no patient developed an infection postoperatively. Two patients had nail migration, one of whom developed nail protrusion through the skin. One patient with preoperative radial nerve injury ultimately underwent tendon transfer to restore wrist extension. Of the 13 patients, 12 reported a full return to sports and other activities with no limitations or discomfort. Conclusions When surgical stabilization of pediatric humeral shaft fractures is indicated, TEN fixation is effective and has a high rate of union and a low rate of complications. This technique is familiar to most orthopaedic surgeons treating pediatric fractures. Level of evidence Level of evidence: IV (case series)

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The use of water-jetting technology in prostheses revision surgery?First results of parameter studies on bone and bone cement

Honl

Rentzsch

Müller

et al. 2000

J. Biomed. Mater. Res.

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Water-jet cutting techniques have been used in industrial applications for many different materials. Recently these techniques have been developed into a revolutionary cutting tool for soft tissues in visceral surgery. The present study investigates the usage of this cutting technology for the revision surgery of endoprostheses. In the first part of the study, samples of bovine bone and acrylic bone cement (PMMA) were cut using an industrial jet cutting device with pure water. Below 400 bar, only PMMA was cut; above 400 bar, bone was also cut, but only pressures above 800 bar resulted in clinically useful rates of material removal (cut depth 2. 4 mm at 10 mm/min traverse speed). In the second part of the study, the effect of adding biocompatible abrasives to the water in order to reduce the required pressure was investigated, resulting in a significantly higher removal of material. At 600 bar, PMMA was cut 5. 2 mm deep with plain water and 15.2 mm deep with added abrasives. The quality of the cuts was increased by the abrasive. Though there was no clear selectivity between bone and PMMA any more, the rate of material removal at similar pressures was significantly higher for PMMA than for bone (600 bar: 1.6 mm cut depth for bone samples, 15.2 mm for PMMA). The measured cut depths with either method were not influenced by a change of the cutting direction with respect to the main direction of the osteons in the bone. However, a reduction of the jet surface angle (90 degrees to 23 degrees ) resulted for bone in a significantly lower cut depth at 600 bar (plain water: 0.62 mm vs. 0.06 mm; abrasive: 1.61 mm vs. 0.60 mm). The laboratory experiments indicate that abrasive water jets may be suitable for cutting biomaterials like bone and bone cement.

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Ender nailing of acute fractures of the humerus. A study of closed fixation by intramedullary nails without reaming.

Cited by 122 publications

References 0 publications

Nailing versus plating in humerus shaft fractures: A prospective comparative study

Nailing versus plating in humerus shaft fractures: A prospective comparative study

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

The use of water-jetting technology in prostheses revision surgery?First results of parameter studies on bone and bone cement

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