Postoperative malrotation of humeral shaft fracture after plating compared with intramedullary nailing

Liu, Ying; Wang, Cheng; Wang, Manyi; Huang, Lei; Huang, Qiang

doi:10.1016/j.jse.2010.12.016

Cited by 62 publications

(68 citation statements)

References 21 publications

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“…[1][2][3][4]7 Various surgical and non-surgical treatment strategies have been identified for humeral shaft fractures. Each method has its own advantages and disadvantages.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 The distribution is bimodal, and they occur more commonly in the third decade of life in males and the seventh decade in females. [1][2][3] A majority of humeral shaft fractures can be treated successfully using non-operative methods such as hanging cast, functional brace, velpeau dressing, coaptation splint and abduction cast. 2,[4][5][6] In some cases, conservative methods are not sufficient.…”

Section: Introductionmentioning

confidence: 99%

“…2,4,7 Some surgeons opt for surgery even for simple humeral shaft fractures to avoid the risk of non-union and allow for early mobilisation and rapid return to work. 1,3,[7][8][9][10][11][12] Intramedullary nailing is considered the gold standard treatment for shaft fractures of long bones. 1,5,13 Although plate and screw fixation has traditionally been the preferred method for humeral shaft fractures, inflatable intramedullary nail is another option for surgical management of humeral shaft fractures, which has the advantages of easy application, minimum soft tissue injury, shortening the surgery time and less exposure to radiation.…”

Section: Introductionmentioning

confidence: 99%

“…1,3,[7][8][9][10][11][12] Intramedullary nailing is considered the gold standard treatment for shaft fractures of long bones. 1,5,13 Although plate and screw fixation has traditionally been the preferred method for humeral shaft fractures, inflatable intramedullary nail is another option for surgical management of humeral shaft fractures, which has the advantages of easy application, minimum soft tissue injury, shortening the surgery time and less exposure to radiation. 1,3,7,9,10,[13][14][15][16][17] The hydraulically inflatable intramedullary nail consists of an expandable stainless steel tube with four reinforcement bars connected by thin folded stainless steel membranes with a conical distal end.…”

Section: Introductionmentioning

confidence: 99%

“…1,5,13 Although plate and screw fixation has traditionally been the preferred method for humeral shaft fractures, inflatable intramedullary nail is another option for surgical management of humeral shaft fractures, which has the advantages of easy application, minimum soft tissue injury, shortening the surgery time and less exposure to radiation. 1,3,7,9,10,[13][14][15][16][17] The hydraulically inflatable intramedullary nail consists of an expandable stainless steel tube with four reinforcement bars connected by thin folded stainless steel membranes with a conical distal end. 6,10,13,16 Normal saline is injected into the hollow inner core of the nail under pressure through a proximal valve to expand it and increase its effective diameter (Fig.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

The inflatable intramedullary nail for humeral shaft fractures

Ozan

Gürbüz

Uzun

et al. 2017

Journal of Orthopaedics

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“…[1][2][3][4]7 Various surgical and non-surgical treatment strategies have been identified for humeral shaft fractures. Each method has its own advantages and disadvantages.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The inflatable intramedullary nail for humeral shaft fractures

Ozan

Gürbüz

Uzun

et al. 2017

Journal of Orthopaedics

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Humeral Shaft Fractures

Hak

Mauffrey

2021

Evidence‐Based Orthopedics

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Open plate fixation versus nailing for humeral shaft fractures: a meta-analysis and systematic review of randomised clinical trials and observational studies

Beeres

Veelen

Houwert

et al. 2021

Eur J Trauma Emerg Surg

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Purpose This meta-analysis compares open reduction and internal fixation with a plate (ORIF) versus nailing for humeral shaft fractures with regard to union, complications, general quality of life and shoulder/elbow function. Methods PubMed/Medline/Embase/CENTRAL/CINAHL was searched for observational studies and randomised clinical trials (RCT). Effect estimates were pooled across studies using random effects models. Results were presented as weighted odds ratio (OR) or risk difference (RD) with corresponding 95% confidence interval (95% CI). Subgroup analysis was performed stratified for study design (RCTs and observational studies). Results Eighteen observational studies (4906 patients) and ten RCT's (525 patients) were included. The pooled effect estimates of observational studies were similar to those obtained from RCT's. More patients treated with nailing required re-intervention (RD 2%; OR 2.0, 95% CI 1.0-3.8) with shoulder impingement being the most predominant indication (17%). Temporary radial nerve palsy secondary to operation occurred less frequently in the nailing group (RD 2%; OR 0.4, 95% CI 0.3-0.6). Notably, all but one of the radial nerve palsies resolved spontaneously in each groups. Nailing leads to a faster time to union (mean difference − 1.9 weeks, 95% CI − 2.9 to − 0.9), lower infection rate (RD 2%; OR 0.5, 95% CI 0.3-0.7) and shorter operation duration (mean difference − 26 min, 95% CI − 37 to − 14). No differences were found regarding nonunion, general quality of life, functional shoulder scores, and total upper extremity scores. Conclusion Nailing carries a lower risk of infection, postoperative radial nerve palsy, has a shorter operation duration and possibly a shorter time to union. Shoulder impingement requiring re-intervention, however, is an inherent disadvantage of nail fixation. Notably, absolute differences are small and almost all patients with radial nerve palsy recovered spontaneously. Satisfactory results can be achieved with both treatment modalities.

show abstract

Postoperative malrotation of humeral shaft fracture after plating compared with intramedullary nailing

Cited by 62 publications

References 21 publications

The inflatable intramedullary nail for humeral shaft fractures

The inflatable intramedullary nail for humeral shaft fractures

Humeral Shaft Fractures

Open plate fixation versus nailing for humeral shaft fractures: a meta-analysis and systematic review of randomised clinical trials and observational studies

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