ROLE OF INTRAMEDULLARY INTERLOCKING NAILING IN MANAGEMENT OF FRACTURE SHAFT OF HUMERUS: A CASE SERIES OF 25 PATIENTS

2016-06-30T17-57-56Z
Source: Journal Of Advance Researches In Biological Sciences (A Peer Reviewed Indexed Medical Journal)
Ummat Ashwani,*Kochhar Sonia, Singh Ravinder, Behal Nancy.
AbstractHumerus fracture is one of the common fractures in Road Traffic Accidents (RTA) and domestic injuries. In view of better union, functional outcome and patient comfort, internal fixation has become order of the day. Now a days interlocking intramedullary nails have gained popularity for stabilization of humeral shaft fractures due to preservation of fracture haematoma, minimal exposure, rigid fixation with early mobilization. The aim of the study is to evaluate the effectiveness of intramedullary interlocking nails in achieving union in fracture shaft of humerus. A prospective clinical study on twenty-five patients of humeral shaft fractures was performed using antegrade locked intramedullary nailing in our hospital setting. 96% rate of union was achieved in present study with union occurring in less than 15 weeks in 60% of our cases at 6 months , 19 (78%) patients had full range of shoulder movements and only 3 (12%) had restriction of flexion and abduction greater than 20°. This study shows that antegrade locked intramedullary nailing is reliable and also very effective in treating multiply injured patients with humeral shaft fractures.


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