Intramedullary Interlocking Nail Fixation for Fracture Shaft Humerus - A Prospective Study
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 4
Abstract
Humerus is the longest and strongest bone of upper extremity and serves as the pivot for functional activities of the upper limb. It is prone for frequent fractures with overall incidence of 3% in all fractures. Most of the fractures of shaft humerus can be managed conservatively but remains controversial particularly when associated with polytrauma. To minimise the risk of complications of conservative treatment the surgical management by open or close reduction and internal fixation by intramedullary nailing or plate osteosynthesis are preferred. The aim of the present study was to evaluate the functional outcome of the fracture shaft humerus treated with closed or open reduction and internal fixation by antegrade intramedullary interlocking nail as this is a better implant biomechanically and provides a good degree of axial, angulatory and rotational stability. 25 Patients with fracture shaft of humerus, admitted in the Orthopaedics department of S.V.R.R.G.G.Hospital and Sri Venkateswara Medical College, Tirupati were included in the study. Neer’s critena was used to evaluate the results, which was, excellent in 18(72%), good in 5(20%) and poor in 2(8%) patients. Average time for fracture union was around 14 weeks. Only 2(8%) patients had complications, one with non-union and the other with restricted shoulder movement. Hence intramedullary interlocking nailing for fracture shaft of humerus appears to be a safe and reliable method. It allows micro movement at the fracture site, enhancing early fracture consolidation and early mobilization thereby improving functional out come
Authors and Affiliations
Suresh Reddy. S
Keywords
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