The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Treatment Outcome of Intramedullary Fixation with a Locked Rigid Nail in Humeral Shaft Fractures

Document Type : RESEARCH PAPER

Authors
Mohsen Mardani-Kivi 1
Mehran Soleymanha 1
zahra Haghparast-Ghadim-Limudahi 2
1 Department of Orthopedic Surgery, Pursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
2 Guilan University of Medical Sciences, Rasht, Iran
10.22038/abjs.2016.4569
Abstract
 
Background: The aim of this study was to determine the treatment outcome of humeral shaft fractures with a locked rigid intramedullary nail in patients indicated for surgical treatment.

Methods: In this descriptive-cross sectional study, all patients were followed up for one, six, and 18 months post operatively. The Short Form Questionnaire (SF-36) and Constant Shoulder Score were applied.

Results: Of 78 included patients (mean age: 35), one patient had a soft tissue infection, one had secondary radial nerve palsy, eight had non-union, one had elbow limited range of motion in extension, and three patients had decreased shoulder range of motion. The Constant Shoulder Score and Short Form Questionnaire Score (SF-36) increased in all patients, although aged women showed lower improvement.

Conclusion: Intramedullary nail fixation in the humeral shaft fracture may be associated with high rates of non-union.
Keywords
Humeral shaft fractures
Nailing
Orthopedic procedures
Treatment outcome
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The Archives of Bone and Joint Surgery
Volume 4, Issue 1 - Serial Number 1
January 2016
Pages 47-51

  • Receive Date 29 October 2014
  • Revise Date 25 January 2015
  • Accept Date 28 May 2015