English

Abstract

the aim of the present study is to evaluate the results of closed interlocking intramedullary nail in the management of fractures of shaft humerus.20 humeral shaft fractures were treated by closed reduction and intramedullary interlocking nailing in the department of orthopaedics, government medical college, government general hospital, anantapuramu from November 2010 to Aug 2012. The cause of fracture was RTA in 17 cases and fall in 3 cases. Age incidence varied from 20 years to 60 years, 14 were male 6 female. Out of 20 cases in 18 cases fracture united by 3 to 4 months. 2 non-unions occurred after 6 months., Excellent results were obtained in 40% of the cases, good results in 20%of the cases, fair results in 25% and Poor results in 15% of the cases. Most common complication was shoulder stiffness occurring in 5 cases. We conclude that interlocking nailing for humerus shaft fractures is an effective means of fixation. The most common complication is shoulder stiffness which can be minimized by preventing proximal protrusion of nail, proper repair of rotator cuff and early rehabilitation.