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Management of Humeral Shaft Fracture by Antegrade Interlocking Intramedullary Nail

Received: 16 January 2021     Accepted: 11 March 2021     Published: 1 April 2021
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Abstract

Background: The humeral shaft fracture is relatively common fracture among the younger and older age groups of people followed by direct or indirect violence. Humeral shaft fractures account for approximately 3% of all fractures. We have very few data regarding issue. Aim of the study: The aim of this study was to collect information regarding the procedure and outcomes of antegrade interlocking intramedullary nail in treating humeral shaft fracture. Material and methods: This study was carried out during the period from January 2017 to January 2020 at TMSS Medical College and RCH Bogura & Natore Trauma Center and Hospital, Natore, Bangladesh. Total 15 patients were selected where 10 were male and 5 were female. The study was approved by the ethical committees of mentioned both the institution. Proper written consents were taken from all the participants before starting the main intervention. All data were collected analyzed and disseminated by MS Office program. Results: Postoperative infection were found in 2 patients (13.33%) and shoulder pain in 1 case (6.67%). In this study, excellent and good result were accepted as Satisfactory while fair and poor results were regarded as being unsatisfactory. Among them 5 (33.33%) cases were excellent, 7 (46.67%) cases good, 2 (13.33%) cases fair and 1 (6.66%) cases poor. In this study, overall satisfactory result was found in 12 (80%) cases and unsatisfactory in 3 (20%) cases. Conclusion: The antegraded interlocking intramedullary nail is an effective and technically demanding method for the treatment of humeral shaft fracture.

Published in Journal of Surgery (Volume 9, Issue 2)
DOI 10.11648/j.js.20210902.17
Page(s) 78-81
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Humeral Shaft Fracture, Intramedullary Nailing, Antegrade Interlocking Intramedullary Nail

References
[1] Ouyang H, Xiong J, Xiang P, Cui Z, Chen L, Yu B (2013) Plate versus intramedullary nail fixation in the treatment of humeral shaft fractures: an updated meta-analysis. J Shoulder Elbow Surg Am Shoulder Elbow Surg 22 (3): 387–395. doi: 10.1016/j.jse.2012.06.007.
[2] Ma J, Xing D, Ma X, Gao F, Wei Q, Jia H, Feng R, Yu J, Wang J (2013) Intramedullary nail versus dynamic compression plate fixation in treating humeral shaft fractures: grading the evidence through a meta-analysis.
[3] Suzuki T, Hak DJ, Stahel PF, Morgan SJ, Smith WR (2010) Safety and efficacy of conversion from external fixation to plate fixation in humeral shaft fractures. J Orthop Trauma 24 (7): 414–419. doi: 10.1097/BOT.0b013e3181c673a6.
[4] Sarahrudi K, Wolf H, Funovics P, Pajenda G, Hausmann JT, Vécsei V. Surgical treatment of pathological fractures of the shaft of the humerus. J Trauma 2009; 66: 789-94.
[5] Walker M, Palumbo B, Badman B, Brooks J, Van Gelderen J, Mighell M (2011) Humeral shaft fractures: a review. J Shoulder Elbow Surgery Am Shoulder Elbow Surg 20 (5): 833–844. doi: 10.1016/j.jse.2010.11.030.
[6] Ngai SL, Ip KC, Lee KB, Shen WY, Chan Ben. Minimally invasive fixation for proximal humeral fracture: A review on the use of T2 proximal humeral nail. J Orthop Trauma Rehabil 2013; 17: 66-70.
[7] Mahabier KC, Vogels LM, Punt BJ, Roukema GR, Patka P, Van Lieshout EM (2013) Humeral shaft fractures: retrospective results of non-operative and operative treatment of 186 patients. Injury 44 (4): 427–430.
[8] Whatling GM, Nokes LD. Literature review of current techniques for the insertion of distal screws into intramedullary locking nails. Injury 2006; 37: 109-19.
[9] Dimakopoulos P, Papadopoulos AX, Papas M, Panagopoulos A, Lambiris E. Modified extra rotator-cuff entry point in antegrade humeral nailing. Arch Orthop Trauma Surg 2005; 125: 27-32.
[10] Marsh JL, Slongo TF, Agel J, Broderick JS, Creevey W, DeCoster TA, et al. Fracture and dislocation classification compendium-2007: Orthopaedic trauma association classification, database and outcomes committee. J Orthop Trauma 2007; 21 (Suppl 10): S1-133.
[11] Kurup H, Hossain M, Andrew JG (2011) Dynamic compression plating versus locked intramedullary nailing for humeral shaft fractures in adults. The Cochrane database of systematic reviews. doi: 10.1002/ 14651858. CD005959.pub2. DOI: 10.4103/09736042.114233.
[12] Gradl G, Dietze A, Kääb M, Hopfenmüller W, Mittlmeier T. Is locking nailing of humeral head fractures superior to locking plate fixation? Clin Orthop Relat Res 2009; 467: 2986-93.
[13] Cheng HR, Lin J. Prospective randomized comparative study of antegrade and retrograde locked nailing for middle humeral shaft fracture. J Trauma 2008; 65: 94-102.
[14] Blum J, Karagül G, Sternstein W, Rommens PM. Bending and torsional stiffness in cadaver humeri fixed with a self-locking expandable or interlocking nail system: A mechanical study. J Orthop Trauma 2005; 19: 535-42.
Cite This Article
  • APA Style

    Md. Tariqul Islam, Md. Nazibullah, Anam Ahmed Ripon, Md. Atiqur Rahman Khan, AKM Shaharul Islam. (2021). Management of Humeral Shaft Fracture by Antegrade Interlocking Intramedullary Nail. Journal of Surgery, 9(2), 78-81. https://doi.org/10.11648/j.js.20210902.17

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    ACS Style

    Md. Tariqul Islam; Md. Nazibullah; Anam Ahmed Ripon; Md. Atiqur Rahman Khan; AKM Shaharul Islam. Management of Humeral Shaft Fracture by Antegrade Interlocking Intramedullary Nail. J. Surg. 2021, 9(2), 78-81. doi: 10.11648/j.js.20210902.17

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    AMA Style

    Md. Tariqul Islam, Md. Nazibullah, Anam Ahmed Ripon, Md. Atiqur Rahman Khan, AKM Shaharul Islam. Management of Humeral Shaft Fracture by Antegrade Interlocking Intramedullary Nail. J Surg. 2021;9(2):78-81. doi: 10.11648/j.js.20210902.17

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  • @article{10.11648/j.js.20210902.17,
      author = {Md. Tariqul Islam and Md. Nazibullah and Anam Ahmed Ripon and Md. Atiqur Rahman Khan and AKM Shaharul Islam},
      title = {Management of Humeral Shaft Fracture by Antegrade Interlocking Intramedullary Nail},
      journal = {Journal of Surgery},
      volume = {9},
      number = {2},
      pages = {78-81},
      doi = {10.11648/j.js.20210902.17},
      url = {https://doi.org/10.11648/j.js.20210902.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210902.17},
      abstract = {Background: The humeral shaft fracture is relatively common fracture among the younger and older age groups of people followed by direct or indirect violence. Humeral shaft fractures account for approximately 3% of all fractures. We have very few data regarding issue. Aim of the study: The aim of this study was to collect information regarding the procedure and outcomes of antegrade interlocking intramedullary nail in treating humeral shaft fracture. Material and methods: This study was carried out during the period from January 2017 to January 2020 at TMSS Medical College and RCH Bogura & Natore Trauma Center and Hospital, Natore, Bangladesh. Total 15 patients were selected where 10 were male and 5 were female. The study was approved by the ethical committees of mentioned both the institution. Proper written consents were taken from all the participants before starting the main intervention. All data were collected analyzed and disseminated by MS Office program. Results: Postoperative infection were found in 2 patients (13.33%) and shoulder pain in 1 case (6.67%). In this study, excellent and good result were accepted as Satisfactory while fair and poor results were regarded as being unsatisfactory. Among them 5 (33.33%) cases were excellent, 7 (46.67%) cases good, 2 (13.33%) cases fair and 1 (6.66%) cases poor. In this study, overall satisfactory result was found in 12 (80%) cases and unsatisfactory in 3 (20%) cases. Conclusion: The antegraded interlocking intramedullary nail is an effective and technically demanding method for the treatment of humeral shaft fracture.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Management of Humeral Shaft Fracture by Antegrade Interlocking Intramedullary Nail
    AU  - Md. Tariqul Islam
    AU  - Md. Nazibullah
    AU  - Anam Ahmed Ripon
    AU  - Md. Atiqur Rahman Khan
    AU  - AKM Shaharul Islam
    Y1  - 2021/04/01
    PY  - 2021
    N1  - https://doi.org/10.11648/j.js.20210902.17
    DO  - 10.11648/j.js.20210902.17
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 78
    EP  - 81
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20210902.17
    AB  - Background: The humeral shaft fracture is relatively common fracture among the younger and older age groups of people followed by direct or indirect violence. Humeral shaft fractures account for approximately 3% of all fractures. We have very few data regarding issue. Aim of the study: The aim of this study was to collect information regarding the procedure and outcomes of antegrade interlocking intramedullary nail in treating humeral shaft fracture. Material and methods: This study was carried out during the period from January 2017 to January 2020 at TMSS Medical College and RCH Bogura & Natore Trauma Center and Hospital, Natore, Bangladesh. Total 15 patients were selected where 10 were male and 5 were female. The study was approved by the ethical committees of mentioned both the institution. Proper written consents were taken from all the participants before starting the main intervention. All data were collected analyzed and disseminated by MS Office program. Results: Postoperative infection were found in 2 patients (13.33%) and shoulder pain in 1 case (6.67%). In this study, excellent and good result were accepted as Satisfactory while fair and poor results were regarded as being unsatisfactory. Among them 5 (33.33%) cases were excellent, 7 (46.67%) cases good, 2 (13.33%) cases fair and 1 (6.66%) cases poor. In this study, overall satisfactory result was found in 12 (80%) cases and unsatisfactory in 3 (20%) cases. Conclusion: The antegraded interlocking intramedullary nail is an effective and technically demanding method for the treatment of humeral shaft fracture.
    VL  - 9
    IS  - 2
    ER  - 

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Author Information
  • Department of Orthopedics, TMSS Medical College, Bogura, Bangladesh

  • Department of Orthopedics, TMSS Medical College, Bogura, Bangladesh

  • Department of Orthopedics, TMSS Medical College, Bogura, Bangladesh

  • Department of Orthopaedics, Monno Medical College Hospital, Gilondo, Manikgonj, Bangladesh

  • Department of Orthopedics, TMSS Medical College, Bogura, Bangladesh

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