Is locked compressive intramedullary nailing for adult humerus shaft fractures advantageous?

Duygun, Fatih

doi:10.5606/ehc.2017.55687

Cited by 11 publications

(8 citation statements)

References 17 publications

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“…Seventeen studies provided data on humeral shaft fractures in their population [3,5,7,9,[11][12][13][14][15][16][17][18][19][20][21][22][23][24]. Five studies provided information regarding findings at exploration but did not provide background epidemiological fracture data [8,10,22,[25][26].…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

Incidence and Management of Radial Nerve Palsies in Humeral Shaft Fractures: A Systematic Review

Hegeman

Polmear

Nesti

et al. 2020

Cureus

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Radial nerve palsies in closed humeral shaft fractures are common, with an incidence of 7%-17%. The management of radial nerve palsies in closed fractures is often expectant, with 70.7% spontaneously recovering within six months. A literature search was conducted for studies on radial nerve palsies in humeral shaft fractures from 2000-2018. A total of 4972 humeral shaft fractures were identified, with an incidence of 12.2% of primary radial nerve palsies. During the exploration, no neurological intervention was performed in nearly 41% of cases, and the most common finding was no evidence of any nerve lesion (35%). Those who underwent neurolysis were more likely to resolve when compared to primary repair or nerve grafting. Overall, there was a high rate of spontaneous radial nerve palsy recovery (85%) with radial nerve exploration increasing rates of resolution. While exploration demonstrates increased resolution, it is yet to be determined which fractures are indicated for nerve exploration.

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Section: Characteristics Of Studiesmentioning

confidence: 99%

Incidence and Management of Radial Nerve Palsies in Humeral Shaft Fractures: A Systematic Review

Hegeman

Polmear

Nesti

et al. 2020

Cureus

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“…It is usually diaphyseal, and surgery is only indicated in case of non-union, neurovascular injuries, pathological, or open fractures, most common being multiple injuries. [1][2][3][4] In surgical techniques, although controversies remain about the fixation with intramedullary nail (IMN) or dynamic compression plating (DCP)/locking compression plating (LCP), till now plating is found to be the better surgical modality, 5,6 with high union rates. [1][2][3] In a metaanalysis of randomized controlled trials, where plating was compared with IMN of humeral shaft fractures, it was found that the former has a low risk of complications and requires lesser clinical expertise.…”

Section: Introductionmentioning

confidence: 99%

Functional outcome of dynamic compression plating compared with intramedullary interlocking nailing in closed fracture shaft of humerus in adults.

Azmatullah

Ali

Siddiqui

et al. 2020

TPMJ

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Objectives: To compare the functional outcome of dynamic compression plating with intramedullary interlocking nailing in closed fracture of the humeral shaft in adults. Study Design: Prospective comparative study. Setting: Department of orthopedics, Civil hospital, Karachi. Period: From 8th February to 7th August 2017. Material & Methods: A total of 82 patients with post-traumatic closed fracture shaft of the humerus were included. Patients were randomly allocated into two groups. Group I was offered Intramedullary Interlocking nail (ILN) and Group II was offered a dynamic compression plate (DCP). The functional outcome was measured by the “Disabilities of Arm, Shoulder and Hand” (DASH) score. Results: The average age of the patients was 32.87±6.65 years. The acceptable outcome was significantly high in DCP group as compared to the ILN group (87.8% vs. 61%; p = 0.005). Conclusion: We conclude that dynamic compression plating is functionally a better technique than interlocking nailing for closed fracture of shaft of the humerus in adults.

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“…[11] Intramedullary nails (IMNs) are a good alternative to plate fixation, offering less disruption to the blood supply due to reduced periosteal dissection, smaller scars, and lower refracture rates after the removal of the implant, [12] while new generation locked IMNs exhibit high union rates. [13,14] In this study, we aimed to compare the radiological and functional results of adult patients with isolated ulnar diaphyseal fractures treated with plate and new-generation locked IMN.…”

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confidence: 99%

Treatment of adult isolated ulnar diaphyseal fractures: A comparison of new-generation locked intramedullary nail and plate fixation

Kibar

Kurtulmuş

2019

Eklem Hastalik Cerrahisi

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Objectives: This study aims to compare the radiological and functional results of adult patients with isolated ulnar diaphyseal fractures treated with plate and new-generation locked intramedullary nail (IMN). Patients and methods: The study included 57 patients (38 males, 19 females; mean age 39.1 years; range, 18 to 77 years) with isolated ulnar diaphyseal fractures treated with IMN or plate fixation between January 2008 and December 2017. Thirty patients (Plate group) were treated with plate fixation and 27 patients (IMN group) with IMN. Functional results were evaluated according to the Grace-Eversmann evaluation system and the disabilities of the arm, shoulder and hand (DASH) questionnaire. Results: The mean union time was 12.8±1.2 weeks in the IMN group and 13.7±1.4 weeks in the plate group (p= 0.092). The mean operation time was significantly shorter in the IMN group (30 minutes) than in the plate group (46 minutes; p<0.001). The mean DASH score was 7.0±4.5 in the IMN group and 7.7±8.6 in the plate group (p= 0.766). Conclusion: With similar union rates, functional results, and shorter operation times, locked IMNs are a suitable alternative to plate osteosynthesis in adult isolated ulnar diaphyseal fractures.

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Is locked compressive intramedullary nailing for adult humerus shaft fractures advantageous?

Abstract: Treatment of humerus shaft fractures with locked compressive IMN provides sufficient fixation and early movement opportunity in the shoulder and elbow joints, and gives satisfactory radiological and functional results.

Cited by 11 publications

References 17 publications

Incidence and Management of Radial Nerve Palsies in Humeral Shaft Fractures: A Systematic Review

Incidence and Management of Radial Nerve Palsies in Humeral Shaft Fractures: A Systematic Review

Functional outcome of dynamic compression plating compared with intramedullary interlocking nailing in closed fracture shaft of humerus in adults.

Treatment of adult isolated ulnar diaphyseal fractures: A comparison of new-generation locked intramedullary nail and plate fixation

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