SURGICAL MANAGEMENT OF DIAPHYSEAL FRACTURE OF HUMERUS BY INTRAMEDULLARY INTERLOCKING NAILING IN OUR GOVERNMENT GENERAL HOSPITAL

Shyam Kumar. C, Reddiharikumar. S, Venkateswararao. D, Venkateswara Swamy. P

Abstract


Background: Operative management of fracture shaft of the 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. The study was conducted in a government general hospital, Siddhartha medical college, Vijayawada.

 

Methods: A series of 30 patients with acute fractures of the shaft of the humerus were treated with antegrade interlocking nailing during november 2017 to November 2019. There were 19 males and 11 females with an average age of 44.37 years (18-75 years). All the patients were followed up for an average period of 6.76 months, and results were analyzed.

 

Results: 30 (100%) fractures united with an average consolidation time of 13.067 weeks (11-16 weeks. Functional results were excellent in 27(90%), moderate in 2(6.6%), and poor in 1(3.3%).

 

Conclusion: Closed antegrade interlocking nailing offers a safe and reliable method of fixing fractures of the humeral shaft, with early fracture consolidation and higher union rates. It provides early rehabilitation and reduces the hospital stay.


Keywords


Fracture shaft of humerus; Interlocking nailing

Full Text:

PDF

References


Brinker, MR, O'Connor, DP. The incidence of fractures and dislocations referred for orthopedic services in a capitated population. J Bone Joint Surg Am. 2004;86-A(2): 290–297

Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Injury. 2006; 37(8):691–697

Lovald S, Mercer D, Hanson J, et al. Complications and hardware removal after open reduction and internal fixation of humeral fractures. J Trauma. 2011;70(5):1273–1277; discussion 1277-1278

Ekholm R, Adami J, Tidemark J, et al. Fractures of the shaft of the humerus. An epidemiological study of 401 fractures. J Bone Joint Surg Br. 2006;88(11):1469–1473

Kim SH, Szabo RM, Marder RA. Epidemiology of humerus fractures in the United States: Nationwide emergency department sample, 2008. Arthritis Care Res (Hoboken). 2012;64(3):407–414.

Papasoulis E, Drosos GI, Ververidis AN, et al. Functional bracing of humeral shaft fractures. A review of clinical studies. Injury. 2010;41(7):e21–e27.

Kumar BS, MS Orth, Soraganvi P, MS Orth, Satyarup D, MS Orth. Treatment of Middle Third Humeral Shaft Fractures with Anteromedial Plate Osteosynthesis through an Anterolateral Approach. Malaysian Orthopaedic Journal 2016 Vol 10 No

Petsatodes G, Karataglis D, Papadopoulos P, et al. Antegrade interlocking nailing of humeral shaft fractures. J Orthop Sci. 2004;9(3):247–252.


Refbacks

  • There are currently no refbacks.