Study on Surgical management of fracture shaft of Humerus by interlocking nail

Abstract

Back ground: Operative management of fracture shaft of humerus can be with plate osteosynthesis or with intramedullary nailing. In this study we have tried to analyze the outcome in terms of time for consolidation, union rates, functional results and complications of humeral shaft fractures managed with closed antegrade interlocking nailing. Study was conducted Navodaya Medical college Hospital and Research Centre, Raichur Methods : A series of 25 patients with acute fractures of shaft of humerus were treated with antegrade interlocking nailing during September 2010 to September 2012. There were 15 males and 10 females with an average age of 39.07 years (21-65 years). All the patients were followed up for a average period of 7.76 months and results were analyzed. Results: 24 (96%) fractures united with a average consolidation time of 13.625 weeks (10-16 weeks), 1(4%) fractures ended in nonunion. Nail impingement was seen in 2 (8%), shoulder stiffness in 1 (4%). Functional results were excellent in 21(84%), moderate in 2(8%) and poor in 2(8%). Conclusion: Closed antegrade interlocking nailing offers a safe and reliable method of fixing fractures of humeral shaft, with early fracture consolidation and higher union rates. It provides early rehabilitation and reduces the hospital stay.