Locked intramedullary nailing of humeral fractures

Injury. 1993 Jul;24(6):403-6. doi: 10.1016/0020-1383(93)90106-g.

Abstract

Of 46 patients, 30 with fresh fractures of the humerus, nine with non-unions and seven with pathological fractures were treated with a new locked intramedullary nail. Of 30 patients with a fresh humeral fracture, three were lost to follow-up. All fresh fractures healed within 4 months. Functional results of the fresh fracture group were excellent in eighteen patients and satisfactory in three patients. Two patients with Neer type 6 fractures had unsatisfactory shoulder function; in the four other patients poor shoulder function resulted from a pre-existing condition. Out of nine non-unions, six united within 6 months. The three other patients with atrophic non-union required bone-grafting later, after which consolidation was obtained. The long functional recovery period of the non-union group was related to the pre-existing limited shoulder function. The seven patients with a pathological fracture died within 8 months of operation. While alive they were free from pain and could be nursed well.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Bone Nails*
  • Female
  • Fracture Fixation, Intramedullary* / instrumentation
  • Fractures, Spontaneous / surgery
  • Fractures, Ununited / surgery
  • Humans
  • Humeral Fractures / surgery*
  • Male
  • Middle Aged
  • Time Factors