Intramedullary Nailing of Humeral Head and Humeral Shaft Fractures

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Jochen BlumPol Maria Rommens

Abstract

There is an increasing interest in intramedullary nailing for humeral fractures. Starting with diaphyseal fractures, now also proximal metaphyseal fractures of the humerus can be nailed with satisfying results. Basic ideas for humeral nailing are less invasive approaches to the humerus, less soft tissue damage, e.g. lower rates of radial nerve palsy, closed reduction and the biomechanical aspects of a central implant with elastic fixation properties. Nailing of diaphyseal humeral shaft fractures is an equivalent alternative to plating; nailing of proximal metaphyseal humeral fractures is still new and needs more reliable scientific data to clear its advantages compared to other fixation techniques. Nailing of distal metaphyseal humeral fractures is no serious option at the moment. Angular stable interlocking systems show better fixation qualities for proximal fractures or fracture components. Although in very osteoporotic bone cutouts are registered. Static interlocking is advisable. High torsional stability of the fracture fixation has to be achieved, since significant torsional load occurs during the usual movement of the upper limbs. As there is an important learning curve, possible complications of intramedullary nailing ha...Continue Reading

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Citations

Sep 26, 2009·Operative Orthopädie und Traumatologie·Jochen BlumPol Maria Rommens
Aug 28, 2009·La Chirurgia degli organi di movimento·Claudio IacobellisRoberto Aldegheri
Sep 17, 2011·Musculoskeletal Surgery·C IacobellisR Aldegheri
May 12, 2011·Indian Journal of Orthopaedics·Christos Garnavos
Aug 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Johannes Maria RuegerWolfgang Linhart
Jun 1, 2009·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Nikolaus SchwarzBirgit Mayr
Oct 1, 2009·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Jochen BlumRenzo Angeloni

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