Abstract
The gold standard for intramedullary nailing (IMN) in humeral shaft fracture treatment is bipolar interlocking. The aim of this study was to compare clinical and radiographic outcomes in two cohorts of patients treated with IMN with or without distal interlocking. We hypothesized that there was no significant difference between isolated proximal interlocking and bipolar interlocking in terms of consolidation and clinical results. One hundred twenty-one acute humeral shaft fractures were retrospectively included in group WDI (without distal interlocking screw, n = 74) or in group DI (with distal interlocking screw, n = 47). One hundred six patients (87.60%) could be verified by an X-ray, and 63 (52.07%) could be examined clinically. Fracture union at 6 months was the primary outcome, and the second was the final clinical outcome for shoulder and elbow after at least 6 months of follow-up. Pain, operating time, and radiation time were also analyzed. The two groups were not significantly different for population, fractures, or immobilization duration. No significant difference was found for bone union (WDI 89.06% vs DI 83.33%, p = 0.51), shoulder or elbow functional outcomes, or pain. However, there were significant differences in...Continue Reading
References
Jan 1, 1997·International Orthopaedics·T WallnyM Reimer
Aug 20, 2002·International Orthopaedics·E S SanzanaE A Díaz
Aug 20, 2002·International Orthopaedics·A Kumar, S A Sadiq
Feb 17, 2005·International Orthopaedics·Ting-Cheng ChaoChien-Jen Hsu
May 13, 2005·Journal of Shoulder and Elbow Surgery·Kajsa M Johansson, Lars E Adolfsson
Dec 7, 2007·Journal of Shoulder and Elbow Surgery·Michael K Gilbart, Christian Gerber
Apr 18, 2008·Injury·P M RommensJ Blum
Jun 10, 2009·International Orthopaedics·Kiran Singisetti, M Ambedkar
Jul 25, 2013·International Orthopaedics·Michele Arcangelo VerdanoFrancesco Ceccarelli
Aug 21, 2013·International Journal of Shoulder Surgery·Minos TyllianakisAndreas Panagopoulos
Feb 15, 2014·Journal of Shoulder and Elbow Surgery·Alberto G SchneebergerWolfram Steens
Mar 25, 2014·The Journal of Hand Surgery·Michael C CusickThomas W Throckmorton
Jul 22, 2014·Journal of Orthopaedic Trauma·Gerhard Küntscher
Nov 7, 2015·Trauma Monthly·Sermet InalBetul Taspinar
Apr 16, 2016·International Orthopaedics·Nikolaus Wilhelm LangPatrick Platzer
May 7, 2016·International Orthopaedics·Edward WestrickReza Firoozabadi
May 13, 2017·International Orthopaedics·Simon A EulerPeter J Millett
Dec 24, 2017·International Orthopaedics·Markus RuppVolker Alt