Functional outcome of humeral shaft fractures in adults treated with titanium elastic nailing


  • Ishani Patel Department of Orthopaedics, NHL Medical College, Ahmedabad, Gujarat, India
  • Dhaval R. Modi Department of Orthopaedics, NHL Medical College, Ahmedabad, Gujarat, India
  • Mansi Patel Department of Orthopaedics, NHL Medical College, Ahmedabad, Gujarat, India



Titanium elastic nailing, Humeral shaft fractures, Intramedullary, Closed reduction, Internal fixation


Background: This study was done to analyse the functional outcome of humeral shaft fractures (upper and middle third) managed with closed ante-grade intramedullary titanium elastic nailing.

Methods: This was a prospective study of 20 patients, aged between 18 and 60 years, with humeral shaft fractures treated with titanium elastic nailing from May 2016 to April 2018 at our institute. Upper and middle humeral shaft fractures of both sexes were included in the study.

Results: Eighteen (90%) fractures united in 12-20 weeks. Two (10%) patients had delayed union which ultimately united without any intervention. Two (10%) patients developed shoulder stiffness due to nail impingement. By evaluating ASES score, good to excellent results were noted in 18 (90%) and moderate in 2 (10%). There were 15 males and 5 females with an average age 32.75 years (range: 18-60 years).

Conclusions: Titanium elastic nailing is a good method for treatment of humeral shaft fractures in adults. It provides early fracture union, high union rates, minimal soft tissue damage, early rehabilitation and short hospital stay.


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Original Research Articles