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Fracture Union in Closed Interlocking Nail in Humeral Shaft Fractures
BACKGROUND: Fracture shaft humerus is a major cause of morbidity in patients with upper extremity injuries. The aim of this study was to evaluate the outcome of interlocking nail in humeral shaft fractures. METHODS: This study was conducted in the Department of Orthopedic Surgery in SMS and R Sharda...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4733767/ https://www.ncbi.nlm.nih.gov/pubmed/26021495 http://dx.doi.org/10.4103/0366-6999.157630 |
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author | Sahu, Ramji Lal Ranjan, Rajni Lal, Ajay |
author_facet | Sahu, Ramji Lal Ranjan, Rajni Lal, Ajay |
author_sort | Sahu, Ramji Lal |
collection | PubMed |
description | BACKGROUND: Fracture shaft humerus is a major cause of morbidity in patients with upper extremity injuries. The aim of this study was to evaluate the outcome of interlocking nail in humeral shaft fractures. METHODS: This study was conducted in the Department of Orthopedic Surgery in SMS and R Sharda University from January 2010 to November 2013. Seventy-eight patients were recruited from emergency and out-patient department having a close fracture of humerus shaft. All patients were operated under general anesthesia and closed reamed interlocking nailing was done. All patients were followed for 9 months. RESULTS: Out of 78 patients, 69 patients underwent union in 90–150 days with a mean of 110.68 days. Complications found in four patients who had nonunion, and five patients had delayed union, which was treated with bone grafting. All the patients were assessed clinically and radiologically for fracture healing, joint movements and implant failure. The results were excellent in 88.46% and good in 6.41% patients. Complete subjective, functional, and clinical recovery had occurred in almost 100% of the patients. CONCLUSIONS: The results of the present study indicates that in the presence of proper indications, reamed antegrade intramedullary interlocked nailing appears to be a method of choice for internal fixation of osteoporotic and pathologic fractures. |
format | Online Article Text |
id | pubmed-4733767 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-47337672016-04-04 Fracture Union in Closed Interlocking Nail in Humeral Shaft Fractures Sahu, Ramji Lal Ranjan, Rajni Lal, Ajay Chin Med J (Engl) Original Article BACKGROUND: Fracture shaft humerus is a major cause of morbidity in patients with upper extremity injuries. The aim of this study was to evaluate the outcome of interlocking nail in humeral shaft fractures. METHODS: This study was conducted in the Department of Orthopedic Surgery in SMS and R Sharda University from January 2010 to November 2013. Seventy-eight patients were recruited from emergency and out-patient department having a close fracture of humerus shaft. All patients were operated under general anesthesia and closed reamed interlocking nailing was done. All patients were followed for 9 months. RESULTS: Out of 78 patients, 69 patients underwent union in 90–150 days with a mean of 110.68 days. Complications found in four patients who had nonunion, and five patients had delayed union, which was treated with bone grafting. All the patients were assessed clinically and radiologically for fracture healing, joint movements and implant failure. The results were excellent in 88.46% and good in 6.41% patients. Complete subjective, functional, and clinical recovery had occurred in almost 100% of the patients. CONCLUSIONS: The results of the present study indicates that in the presence of proper indications, reamed antegrade intramedullary interlocked nailing appears to be a method of choice for internal fixation of osteoporotic and pathologic fractures. Medknow Publications & Media Pvt Ltd 2015-06-05 /pmc/articles/PMC4733767/ /pubmed/26021495 http://dx.doi.org/10.4103/0366-6999.157630 Text en Copyright: © 2015 Chinese Medical Journal http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Sahu, Ramji Lal Ranjan, Rajni Lal, Ajay Fracture Union in Closed Interlocking Nail in Humeral Shaft Fractures |
title | Fracture Union in Closed Interlocking Nail in Humeral Shaft Fractures |
title_full | Fracture Union in Closed Interlocking Nail in Humeral Shaft Fractures |
title_fullStr | Fracture Union in Closed Interlocking Nail in Humeral Shaft Fractures |
title_full_unstemmed | Fracture Union in Closed Interlocking Nail in Humeral Shaft Fractures |
title_short | Fracture Union in Closed Interlocking Nail in Humeral Shaft Fractures |
title_sort | fracture union in closed interlocking nail in humeral shaft fractures |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4733767/ https://www.ncbi.nlm.nih.gov/pubmed/26021495 http://dx.doi.org/10.4103/0366-6999.157630 |
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