Functional and radiological outcome of intramedullary interlocking nail in the treatment of fracture shaft of humerus
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 1
Abstract
Fracture shaft of Humerus are one of the most common injuries of the arm caused by high velocity injury. Both direct and indirect forces act on it resulting in different fracture patterns. Based on the pattern humeral shaft fractures have been treated both by operative and nonoperative methods. Closed intramedullary nailing of these fractures has been the modality of choice for both segmental and communited fractures compared to plate and screw fixation. By this closed nailing procedure fracture complication, operative and post operative complications are reduced with good functional outcome and early restoration of pre morbid functions. The main purpose of the study was to evaluate the functional outcome and the role of locked intramedullary nailing in fracture shaft of humerus with respect to bone union, shoulder function and related complications. A study population was selected and was carried out with a total of 25 patients (male: 20, female: 5) treated with with intramedullary interlocking nail. The inclusion criteria were patients with closed humerus fracture less than 2 weeks and age more than 20 years. The selected patients were assessed both clinically and radiologically at regular intervals of 6 wks, 12 wks, 24 wks and 6 months thereafter till union. The functional outcome was accessed using Constant murley's scoring system. From our selected study sample we found majority of the patients had segmental fractures (70%) and others had communited fractures (30%). Based on the union, 80 % of patients showed full union by 12 weeks and 20 % showed full union by 16 to 20 weeks. We had 20 patients with excellent functional outcome at final follow-up while 5 patients had good outcome. Intramedullary interlocking nail is a quite safe, effective procedure associated with fast healing, good shoulder movements and reduced infection rates in humeral shaft fractures. Being a closed intramedullary procedure early mobilization and rehabilitation is possible with early restoration of premorbid functions.
Authors and Affiliations
Dr. D. Vimal Raj, Dr. Anish Anto Xavier
Keywords
Related Articles
- EP ID EP485437
- DOI 10.22271/ortho.2018.v4.i1k.109
- Views 119
- Downloads 0
Study of clinical and radiological outcomes in paediatric supracondylar humerus fractures treated with 3 lateral pins versus crossed pins
Paediatric supracondylar fractures can be challenging to treat and are the most common elbow fractures in children. The most common method of treatment of displaced supracondylar humerus fractures is closed reduction and...
Evaluation of the ulnar styloid base on outcome after plate-and-screw fixation of a distal radial fracture: Unrepaired fracture
Background: The impact of an unrepaired fracture of the ulnar styloid base on recuperation after inside obsession of a fracture of the distal piece of the sweep is unverifiable. We assessed a progression of patients with...
Is the clavicle fractures fixed with plates and screws really improves the functional outcomes a prospective study
Background: Clavicular fractures account for approximately 2.6% of all fractures. Fractures occur most commonly in the middle third of the bone. Displaced Mid-shaft clavicle fractures are common and are generally treated...
Pedicle screw fixation in the lower cervical spine: Case series
Background: Pedicle screw fixation of lower cervical spine is a new technique that provides an alternative to posterior lateral mass plating. Although biomechanical studies suggest the use of pedicle screws to reconstruc...
Merits and demerits of different surgical techniques in treating old, neglected ruptures of tendo achilles
Study conducted in 25 patients in NRI general hospital. Study included 19 males and 6 female patients. Trauma is most common mode of injury and ruptures were significantly common in patients who received local steroid in...