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The Functional Outcome of Antegrade Unreamed Humeral Interlocking Nailing in Adults

Bhat, Shyamasunder N and Rao, Sharath K (2005) The Functional Outcome of Antegrade Unreamed Humeral Interlocking Nailing in Adults. J.Orthopaedics, 2 (1). ISSN 0972-978X

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Abstract

Background: Fractures of the shaft of humerus account for approximately 1% of all fractures treated. The technique of interlocking nailing represents the newer approach of the treatment of humeral fractures. Methods: This was a prospective clinical study between April 2000 and December 2002 involving 41 consecutive antegrade unreamed closed humeral nailing for acute humeral shaft fractures in department of Orthopaedics, Kasturba Medical College & Hospital, Manipal. Of these, 37 patients were followed up for at least 18 months postoperatively. Radiological union, functional outcome and complications were assessed. Results: Union rate was 91.89% by the end of 6 months. According to Rodriguez-Merchan EC criteria, 20 patients had excellent functional rating, 11 had good rating, 3 had fair rating and 3 had poor rating. There were 3 cases of nonunion, 2 cases of iatrogenic fractures, 3 cases of proximal protrusion of nail and 4 cases of stiffness of shoulder. Conclusions: Unreamed humeral interlocking nail is an effective means of fixation of acute humeral fractures. It is also of special value in open humeral fractures due to lower incidence of infections. Shoulder stiffness is a significant problem in antegrade nailing.

Item Type: Article
Uncontrolled Keywords: Humeral shaft fracture, humeral interlocking nailing, antegrade unreamed
Subjects: Medicine > KMC Manipal > Orthopaedics
Depositing User: KMC EPrints Administrator
Date Deposited: 20 Dec 2011 04:46
Last Modified: 20 Dec 2011 04:46
URI: http://eprints.manipal.edu/id/eprint/1870

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