Abstract
Back ground: Operative management of fracture shaft of humerus can be with plate osteosynthesis or with intramedullary nailing. In this study we have tried to analyze the outcome in terms of time for consolidation, union rates, functional results and complications of humeral shaft fractures managed with closed antegrade interlocking nailing. Study was conducted Navodaya Medical college Hospital and Research Centre, RaichurMethods: A series of 25 patients with acute fractures of shaft of humerus were treated with antegrade interlocking nailing during September 2010 to September 2012. There were 15 males and 10 females with an average age of 39.07 years (21-65 years). All the patients were followed up for a average period of 7.76 months and results were analyzed.Results: 24 (96%) fractures united with a average consolidation time of 13.625 weeks (10-16 weeks), 1(4%) fractures ended in nonunion. Nail impingement was seen in 2 (8%), shoulder stiffness in 1 (4%). Functional results were excellent in 21(84%), moderate in 2(8%) and poor in 2(8%).Conclusion: Closed antegrade interlocking nailing offers a safe and reliable method of fixing fractures of humeral shaft, with early fracture consolidation and higher union rates. It provides early rehabilitation and reduces the hospital stay.
Highlights
Fractures of shaft of humerus are no exception and are commonly encountered by orthopaedic surgeons, representing between 3% 5% of all fractures.[1]
We took up this study to evaluate the end results of twenty five cases, identify the advantages, difficulties, complications, pit falls, and to prepare guidelines for the treatment of fracture shaft of humerus
Informed consent from each patient was taken. 25 adult patients with traumatic fractures of humeral shaft treated with closed antegrade intramedullary interlocking nailing were studied with the objective to study the functional outcome after interlocking nail for fracture shaft of humerus, the time of union and the union rates and to study the complications after treatment of fracture shaft of humerus with interlocking nail
Summary
Fractures of shaft of humerus are no exception and are commonly encountered by orthopaedic surgeons, representing between 3% 5% of all fractures.[1]. In this study we have tried to analyze the outcome in terms of time for consolidation, union rates, functional results and complications of humeral shaft fractures managed with closed antegrade interlocking nailing. Study was conducted Navodaya Medical college Hospital and Research Centre, Raichur Methods: A series of 25 patients with acute fractures of shaft of humerus were treated with antegrade interlocking nailing during September 2010 to September 2012. Conclusion: Closed antegrade interlocking nailing offers a safe and reliable method of fixing fractures of humeral shaft, with early fracture consolidation and higher union rates. It provides early rehabilitation and reduces the hospital stay.
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