Type of Article: Original Research

Volume 2; Issue 9 : September 2015

Page No.: 152-156

DOI: 10.16965/ijims.2015.122

 

Antigrade Humerus Interlocking Nailing for Diaphyseal Fractures of Humerus: A Study of Clinical Outcomes

Prasanth Ganji *, PR Naidu Pothula, Nandam  Ramarao, Raj Kumar Vijay, Bharath chandra katragadda, Yeseswi Tellakula.

Consultant Orthopedic Surgeon, Vijaya institute of trauma and orthopaedics, Chennai, Tamil Nadu, India.

CORRESPONDENCE:

Dr. Prasanth Ganji. MS (Ortho), Consultant, Vijaya Institute of Trauma and Orthopedics, Chennai, Tamil Nadu, India. E-Mail: prasanthganji@gmail.com

 

ABSTRACT

Back ground: Humerus fractures are commonest in long bone fractures in orthopaedic practice. Apart from conservatives methods surgery is the mainstay in the treatment of humerus fractures. Among the surgical options antigrage nailing, retrograde nailing, plating are the options. Present study was done to analyze the clinical outcomes of antigrade nailing in diaphyseal fractures of humerus.
Materials and Methods: 12 cases were treated with antigrade interlocking nailing among the 12 cases (11 cases were closed and 1 grade 1 compound) 9 were fresh cases and two were presented after one week of injury. of the 12 cases 8 middle 1/3,3 were middle1/3and distal 1/3 junction and one is segmental fracture. Cases were fallowed for up to three years.
Results: Excellent results were seen in 8 good in 3 where 1 case went to delayed union.
Conclusions: Antigrde humerus nailing is a effective method of diphyseal fractures of humerus. It has advantageous over compression plating as it is less invasive, no blood loss, and no risk of iatrogenic radial nerve palsy. Shoulder stiffness can prevented by meticulous repair of rotator cuff, avoiding proximal protrusion
of nail and early institution of physiotherapy .
KEY WORDS: Humerus fracture, Antigrade Nailing, Retorgrade Nailing, Plating, Diaphyseal fracture, Internal fixation.

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