Antegrade Unreamed Locked Intramedullary Nailing in Open Fractures of Shaft of Humerus
Introduction: Open fractures of shaft of humerus have been treated conservatively as well as operatively. Plate osteosynthesis has been considered as the gold standard treatment. Intramedullary nailing also has same success rate in closed fractures. The results of 30 open fractures of shaft hume...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2016-09-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/8438/19054_CE(RA1)_F(T)_PF1(ROAK)_PFA(NC_AK)_PF2(PAG).pdf |
Summary: | Introduction: Open fractures of shaft of humerus have been treated
conservatively as well as operatively. Plate osteosynthesis has
been considered as the gold standard treatment. Intramedullary
nailing also has same success rate in closed fractures. The results
of 30 open fractures of shaft humerus fixed with locked unreamed
antegrade intramedullary nailing were evaluated.
Aim: The purpose of the study was to evaluate the role of locked
intramedullary nailing in open fractures of shaft humerus in terms
of bone union, secondary procedure required, complication,
shoulder dysfunction and infection.
Materials and Methods: Of consecutive 365 humeral shaft
fractures, 63 fractures were open. Thirty-two patients were
operated with plate osteosynthesis, while 31 patients who were
treated with locked unreamed intramedullary nails fulfilling the
inclusion criteria entered the study.
Results: Twenty eight of thirty patients united in mean duration
of 10.5 weeks. There were two non-unions both of them united
with bone grafting and plate osteosynthesis. Seven patients
had superficial infection which healed with antibiotic course,
while two patients had deep infection, which healed with repeat
debridement. Eleven patients had preoperative radial nerve palsy,
nine of which healed completely in average of six months. Twenty
eight patients had excellent functional outcome at final follow-up
while two patients had good outcome.
Conclusion: Antegrade nailing is associated with good union
rates and low infection rates and is a good option in open
fractures and in polytrauma patients. |
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ISSN: | 2249-782X 0973-709X |