Titanium elastic nail for infected humerus fracture with wrist drop: a rare case report

Authors

  • Neetin Prahlad Mahajan Department of Orthopaedics, Grant Government Medical College, Mumbai, Maharashtra, India
  • jayesh Mhatre Department of Orthopaedics, Grant Government Medical College, Mumbai, Maharashtra, India
  • Pritam Talukder Department of Orthopaedics, Grant Government Medical College, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20221628

Keywords:

CRIF, Humerus, TENS nail, Antibiotics, Wrist drop, IMN

Abstract

Humerus mid-shaft fractures are typically managed with ORIF and plate fixation but a rare attempt for CRIF with titanium elastic nail (TENS) nail done even with infection in situ. A 28 year old male, a daily wage worker presented to us with mid-shaft humerus fracture with wrist drop after an incident of fall while carrying heavy load on his head. On X-ray evidence of osteolysis at the fracture site was found and following bone biopsy infected foci was discovered. Later, managed with CRIF with TENS nail and antibiotics. CRIF for infected long bone fracture is rare, but a bold attempt was made for internal fixation which yielded good results and post-operative 3 months showed great results with full active range of motion without any infective foci and with recovery of wirst range of motion.

References

Mbalaviele G, Novack DV, Schett G, Teitelbaum SL. Inflammatory osteolysis: a conspiracy against bone. J Clin Invest. 2017;127(6):2030-9.

Klenerman L. Fractures of the shaft of the humerus. J Bone Joint Surg Br. 1966;48(1):105-11.

Dameron TB, Grubb SA. Humeral shaft fractures in adults. South Med J. 1981;74(12):1461-7.

Ecke H. Complications of humerus-shaft-fractures. Langenbecks Arch Chir. 1972;332:395-8.

Schwarz B, Jelasic F. Traumatic lesions of the radial nerve following fractures of the humerus. Etiology, prognosis, therapy. MMW Munch Med Wochenschr. 1982;124(51-52):1150-2.

Changulani M, Jain UK, Keswani T. Comparison of the use of the humerus intramedullary nail and dynamic compression plate for the management of diaphyseal fractures of the humerus. A randomised controlled study. Int Orthop. 2007;31(3):391-5.

Shah MH, Heffernan G, McGuinness AJ. Early experience with titanium elastic nails in a trauma unit. Ir Med J. 2003;96(7):213-4.

Birt MC, Anderson DW, Bruce TE, Wang J. Osteomyelitis: Recent advances in pathophysiology and therapeutic strategies. J Orthop. 2016;14(1):45-52.

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Published

2022-06-24

Issue

Section

Case Reports