Treatment Of Fracture Shaft Humerus By Intramedullary Interlocking Nail

Mohamed Morsy, Atef; Gaber Mostafa, Ahmed; Ahmad Abdel Rahman Emam, Kareem

doi:10.21608/ejmr.2021.145872

Treatment Of Fracture Shaft Humerus By Intramedullary Interlocking Nail

Document Type : Original Article

Authors

¹ Orthopedic Surgery department, Faculty of Medicine, Beni-Suef University, Egypt

² Orthopedic Surgery department, Beni-Suef General Hospital, Egypt

10.21608/ejmr.2021.145872

Abstract

The goal of this study is to evaluate surgical treatment outcomes of fracture shaft humerus by using intramedullary interlocking nail. Fifteen patients (ages ranged from 51 to 70 with an average age of 64.20 ± 6.338 years, (10 males and 5 females) with shaft humeral fractures from Beni-Suef University and General hospitals during the period from December 2012 to June 2014. The selected participants were treated with intramedullary interlocking nail. Patients were followed up for a mean of 9 (range 6–12) months. The mean length of hospital stay was 3 (range 1–5) days. All the fractures united radiographically after a mean of 14 (range, 12–20) weeks. Conclusion: That the majority of humeral shaft fractures can be treated safely and effectively by non-operative methods. However, for the subset of patients requiring surgical treatment, intramedullary nailing provides predictable means of achieving fracture stabilization and ultimate healing. Poor outcome in intramedullary interlocking nailing is attributable to rotator cuff tear and shoulder impingement and lack of expertise of surgeon.

Keywords

References

1. Putnam, Jill G., et al. "Early post-operative outcomes of plate versus nail fixation for humeral shaft fractures." Injury 50.8 (2019): 1460-1463.‏

2. Lyu, Fei, et al. "Management of dislocation of the shoulder joint with ipsilateral humeral shaft fracture: initial experience." Orthopaedic Surgery 12.5 (2020): 1430-1438.‏

3. Ozan, F., Gürbüz, K., Uzun, E., Gök, S., Doğar, F., & Duygulu, F. (2017). The inflatable intramedullary nail for humeral shaft fractures. Journal of orthopaedics, 14(1), 137-141.‏

4. O’Shaughnessy, M. A., et al. "Management of paediatric humeral shaft fractures and associated nerve palsy." Journal of children's orthopaedics 13.5 (2019): 508-515.‏

5. Tolani, Avinash, Nadeem A. Lil, and Shashank Ranka. "Management of humeral shaft fractures with anterior bridge plating-A minimally invasive approach." National Journal of Integrated Research in Medicine 9.5 (2018).‏

6. Sears, Benjamin W., Armodios M. Hatzidakis, and Peter S. Johnston. "Intramedullary Fixation for Proximal Humeral Fractures." JAAOS-Journal of the American Academy of Orthopaedic Surgeons 28.9 (2020): e374-e383.‏

7. van de Wall, Bryan JM, et al. "Minimally invasive plate osteosynthesis: An update of practise." Injury (2020).‏

8. Kelany, Omar Ab-Wahab, et al. "Interlocking Medullary Nail Versus Plate Fixation in Management of Diaphyseal Humeral Fracture." The Egyptian Journal of Hospital Medicine 80.3 (2020): 1067-1073.‏

9. Dembélé, B., et al. "Aseptic humeral shaft non-union predisposing factor and evaluation treatment." SM J Orthop 3.2 (2017): 1055.‏

10. HUNTER, SAM G. "The closed treatment of fractures of the humeral shaft." Clinical Orthopaedics and Related Research® 164 (1982): 192-198.‏

11. Bohm, E. R., T. V. Tufescu, and J. P. Marsh. "The operative management of osteoporotic fractures of the knee: to fix or replace?." The Journal of Bone and Joint Surgery. British volume 94.9 (2012): 1160-1169.‏

12. Shen, Longxiang, et al. "Internal fixation of humeral shaft fractures using minimally invasive plating: comparative study of two implants." European Journal of Orthopaedic Surgery & Traumatology 23.5 (2013): 527-534.‏

13. Concha, Juan M., Alejandro Sandoval, and Philipp N. Streubel. "Minimally invasive plate osteosynthesis for humeral shaft fractures: are results reproducible?." International orthopaedics 34.8 (2010): 1297-1305.‏

14. Gadegone, W. M., and Y. S. Salphale. "Antegrade Rush nailing for fractures of humeral shaft: an analysis of 200 cases with an average follow-up of 1 year." European Journal of Orthopaedic Surgery & Traumatology 18.2 (2008): 93-99.‏

15. Singisetti, Kiran, and M. Ambedkar. "Nailing versus plating in humerus shaft fractures: a prospective comparative study." International orthopaedics 34.4 (2010): 571-576.‏

16. Denard, Antony, et al. "Outcome of nonoperative vs operative treatment of humeral shaft fractures: a retrospective study of 213 patients." Orthopedics 33.8 (2010).‏

17. Bhandari, Mohit, et al. "Compression plating versus intramedullary nailing of humeral shaft fractures—a meta-analysis." Acta orthopaedica 77.2 (2006): 279-284.‏

18. Brumback, ROBERT J., et al. "Intramedullary stabilization of humeral shaft fractures in patients with multiple trauma." JBJS 68.7 (1986): 960-970.‏

19. Raghavendra, S., and Haresh P. Bhalodiya. "Internal fixation of fractures of the shaft of the humerus by dynamic compression plate or intramedullary nail: A prospective study." Indian journal of orthopaedics 41.3 (2007): 214.‏

20. McCormack, R. G., et al. "Fixation of fractures of the shaft of the humerus by dynamic compression plate or intramedullary nail: a prospective, randomised trial." The Journal of Bone and Joint Surgery. British volume 82.3 (2000): 336-339.‏