Journal article Open Access

EINTRAMEDULLARY INTERLOCKING NAILS: A TREATMENT OPTION FOR CLOSED DIAPHYSEAL HUMERAL FRACTUR

Dr. Imran Khan Maher, Dr. Muhammad Khan Pahore, Dr. Fahim Ahmed Memon

Objective: Outcome of intramedullary interlocking nails in the treatment of closed diaphyseal humeral fracture at Liaquat university hospital Hyderabad/Jamshoro. Materials and methods: Study was performed in Orthopaedic surgery department & traumatology Unit-II, LU HMS Jamshoro/ Hyderabad from February 2011 to July 2013. It is an observational and cross sectional study. All the cases who were admitted for type A-I-2, A-II-2 and A-III-2 closed diaphyseal fracture of humerus assessed by X-rays and clinical examination, cases with minor head injuries, 20-40 years of age and fracture duration less than 2 weeks were selected. Complete routine laboratory investigations were carried out and all the selected cases were underwent intramedullary interlocking nails treatment. After treatment cases were discharged within 7 days and were followed weekly 4 times and then monthly follow-up visits were advised up-to 6 months, all the data regarding outcome in the term of postoperative pain, complications and hospital stay was recorded in the Performa. Results: The 38 patients of closed diaphyseal fracture of humerus were underwent intramedullary nails. Majority 26/(68.5%) were male. Mean age was 35.4+7.5Years. The commonest source of humerus fracture in this study was RTA. Postoperative moderate pain was seen in 10(26.3%) patients, severe pain was noted in 4(10.5%) patients. Postoperative complications seen as Infection in 1/(2.6%) patients, nonunion was in 1/(2.6%), severe impingement in 3/(7.9%)cases, Adhesive capsulitis was noted in 2/(5.2%) individuals and in 01(2.6%) cases implant was failed, while no Iatrogenic palsy of radial nerve was noted in any cases. Hospital stay period ranged from 1 to7 days, and majority of cases were discharged between 1-4 days, while only one cases was found more than 7 days of the hospital stay. Conclusion: The intramedullary nail is the best treatment option for the fracture of humerus, with very low rate of complication and can be learnt easily.

Files (730.8 kB)
Name Size
42.pdf
md5:abcad892e8b7b1beb4dee81f9da44796
730.8 kB Download
18
10
views
downloads
All versions This version
Views 1818
Downloads 1010
Data volume 7.3 MB7.3 MB
Unique views 1717
Unique downloads 1010

Share

Cite as