Clinical treatment of humerus fracture using intramedullary humerus nailing system

Authors

  • Pooja Rawat Department of Regulatory, Auxein Medical Pvt. Ltd. Sonipat, Haryana, India
  • Mohit Kumar Department of Regulatory, Auxein Medical Pvt. Ltd. Sonipat, Haryana, India
  • Gaurav Luthra Department of Regulatory, Auxein Medical Pvt. Ltd. Sonipat, Haryana, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20200475

Keywords:

Clinical outcomes, Compression intramedullary nailing system, Humerus bone fracture

Abstract

Background: The clinical results of intramedullary humerus nailing system of humeral fracture is controversial variation in implants, and follow up factor and operative technical studies. Humerus fracture is the third long fracture after femoral and tibia bone fracture.

Methods: In this prospective study, 45 patients (24 female and 21 male) between the age group of 18-75 years with humerus fracture were taken who did not get conservative management. Type of fracture was categorized according to AO classification. Intramedullary humeral nailing system (compression intramedullary humerus nail, reconstruction nail and reconstruction intramedullary humerus nail) manufactured at Auxein Medical Pvt. Ltd., was used to treatment of humerus fracture. Patient physical fitness was observed according to American Society of Anesthesiologist. Pain scale and outcomes was record from the patients using visual analog scale. Follow up of the patients were taken on 3-week, 8-week, 16-week, 1-year and 2-year.

Results: At 2 years follow up, bone consolidation was present in 44 cases. Only one case has reported of mortality but that was not due to implant related. No clinical and biomechanical complications were reported.  Proper healing of implant was achieved.

Conclusions: Intramedullary humeral nailing system is the best treatment option to treat the humerus fracture. Compression intramedullary humerus nail can minimize the gap and increase the biomechanical stiffness.

Author Biographies

Pooja Rawat, Department of Regulatory, Auxein Medical Pvt. Ltd. Sonipat, Haryana, India

Clinical Research Department

Mohit Kumar, Department of Regulatory, Auxein Medical Pvt. Ltd. Sonipat, Haryana, India

Research and Develeopment

References

Horak J, Nilsson BE. Epidemiology of fracture of the upper end of the humerus. Clin Orthop. 1975;112:250-3.

Sheriff F. The outcome of interlocking nailing of humeral shaft fracture, a one-year hospital-based study. IJOS. 2018;4(2):95-9.

Aaron D, Shatsky J, Paredes JC, Jiang C, Parsons BO, Flatow EL. Proximal humeral fractures: internal fixation. Instr Course Lect. 2013;62:143-54.

Bleeker WA, Nijsten MW, Ten Duis HJ. Treatment of humeral shaft fractures related to associated injuries. A retrospective study of 237 patients. Acta Orthop Scand. 1991;62:148-53.

Wallny T, Westermann K, Sagebiel C, Reimer M, Wagner UA. Functional treatment of humeral shaft fractures: Indications and results. J Orthop Trauma. 1997;11:283-7.

Daabiss M. American society of anesthesiologists physical status classification. Indian J Anesthesia. 2011;55(2):111-5.

Delgado DA, Lambert B, Boutris N. Validation of digital visual analog scale pain scoring with a traditional paper-based visual analog scale in adults. JAAOS Global Res Reviews. 2018;2(3).

Lin J, Shen PW, Hou SM. Complications of locked nailing in humeral shaft fractures. J Trauma. 2003;54:943-9.

Marchetti PG, Vicenzi G, Impallomeni C, Landi S, Surdo V. The use of elastic nails for intramedullary fixation of humeral fractures and non-unions. Orthopedics. 2000;23:343-7.

Cuny C, Pfeffer F, Irrazi M, Chammas M, Empereur F, Berrichi A, et al. A new locking nail for proximal humerus fractures: the Telegraph nail, technique and preliminary results. Rev Chir Orthop Reparatrice Appar Mot. 2002;88:62-7.

Srám J, Lukás R, Krivohlávek M, Taller S. Application of the Targon PH long nail in storey fractures and metaphyseal fractures of the proximal humerus. Rozhl Chir. 2007;86:254-62.

Zarezadeh A, Mamelson K, Thomas WC, Schoch BS, Wright TW, King JJ. Outcomes of distal humerus fractures: What are we measuring? Ortho Traumatol Surg Res. 2018;104(8):1253-8.

Downloads

Published

2020-02-25

Issue

Section

Original Research Articles