Complications of locked nailing in humeral shaft fractures

The Journal of Trauma
Jinn LinSheng-Mou Hou

Abstract

The purpose of this study was to investigate the complications of humeral locked nailing. Between 1994 and 2000, 161 humeral shaft fractures (98 acute fractures and 63 delayed unions or nonunions) in 159 patients treated with humeral locked nails were followed up for an average of 25.4 months. There were 89 men and 70 women, with an average age of 53.5 years. Acute fractures included 68 closed, 18 type I, 8 type II, 3 type IIIA, and 1 type IIIB open fractures. Thirty-six nonunions had previous operations. In general, acute fractures were treated with closed nailing and nonunions were treated with open nailing with bone grafting. Since 1998, interfragmentary wiring has been added in nonunions to compress the fracture. In total, 30 patients had 31 significant complications. Nine of them were persistent nonunions, six from acute fractures and three from nonunions. Fracture gap was associated with a significantly higher risk of nonunion. The risk of operative comminution was significantly higher in retrograde nailing, and operative comminution resulted in a significantly higher risk of nonunion. Seven of the nine nonunions underwent revisional nailing and achieved eventual union. Removal of the protruded screws was performed in two...Continue Reading

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Citations

Feb 17, 2005·International Orthopaedics·Ting-Cheng ChaoChien-Jen Hsu
Feb 22, 2005·Archives of Orthopaedic and Trauma Surgery·Panayiotis DimakopoulosElias Lambiris
Nov 19, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Khaled M Balam, Abdallah S Zahrany
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Apr 23, 2015·Orthopedics·Zhen-Tao ZhouQi-Rong Dong
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Dec 30, 2011·Orthopaedics & Traumatology, Surgery & Research : OTSR·C-W OhK-H Park
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Sep 9, 2021·International Orthopaedics·Wasudeo GadegoneYogesh Salphale

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