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humeral intramedullari nail locking, complication

Tobias Helfen, Georg Siebenbürger, Marcel Mayer, Wolfgang Böcker, Ben Ockert, Florian Haasters
BACKGROUND: Proximal humeral fractures are with an incidence of 4-5 % the third most common fractures in the elderly. In 20 % of humeral fractures there is an indication for surgical treatment according to the modified Neer-Criteria. A secondary varus dislocation of the head fragment and cutting-out are the most common complications of angle stable locking plates in AO11-A3 fractures of the elderly. One possibility to increase the stability of the screw-bone-interface is the cement augmentation of the screw tips...
October 28, 2016: BMC Musculoskeletal Disorders
Amit Thakur, Jasbir Singh, Mukand Lal, Desh Raj Chandel
INTRODUCTION: Open fractures of shaft of humerus have been treated conservatively as well as operatively. Plate osteosynthesis has been considered as the gold standard treatment. Intramedullary nailing also has same success rate in closed fractures. The results of 30 open fractures of shaft humerus fixed with locked unreamed antegrade intramedullary nailing were evaluated. AIM: The purpose of the study was to evaluate the role of locked intramedullary nailing in open fractures of shaft humerus in terms of bone union, secondary procedure required, complication, shoulder dysfunction and infection...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
Chi-Chuan Wu
OBJECTIVE: Supracondylar femoral nonunions after dynamic condylar screw (DCS) treatment are uncommon, and few studies have addressed an optimal treatment technique for this disorder. Re-insertion of a new plate may not be secure because of bony defects in the distal fragment, created by the lag screw of the DCS. MATERIALS AND METHODS: Forty-two consecutive adult patients with 42 supracondylar femoral nonunions were treated with removal of the DCS, re-alignment of the knee axis, and insertion of a retrograde dynamic traditional femoral locked nail...
August 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Mauro E C Gracitelli, Eduardo A Malavolta, Jorge H Assunção, Kodi E Kojima, Paulo R dos Reis, Jorge S Silva, Arnaldo A Ferreira Neto, Arnaldo J Hernandez
BACKGROUND: Previous studies have shown good clinical results in patients with proximal humeral fractures (PHFs) treated with locking intramedullary nails or locking plates. Our study compared the clinical and radiographic outcomes in patients with 2- and 3-part surgical neck fractures. METHODS: In this prospective, randomized controlled trial, 72 patients with 2- or 3-part surgical neck PHFs were randomly assigned to receive fixation with locking intramedullary nails (nail group) or locking plates (plate group)...
May 2016: Journal of Shoulder and Elbow Surgery
Jochen Blum, Matthias Hansen, Mathias Müller, Pol M Rommens, Helmut Matuschka, Antonio Olmeda, Marek J Radziejowski, Wolfgang Merbold, Stefan Nijs, Renzo Angeloni
OBJECTIVES: The goal of this study was to evaluate fracture healing and alignment as well as functional outcome and complication risks after internal fixation with the intramedullary proximal humeral nail (PHN). This device shows promise for applications involving the reconstruction of the humeral shaft and head with minimal soft tissue stripping and for providing a locked, fixed-angle construct for secure fixation to permit controlled, early, and active rehabilitation. DESIGN: Prospective case-series...
October 2009: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Helen H G Handoll, Stig Brorson
BACKGROUND: Fracture of the proximal humerus, often termed shoulder fracture, is a common injury in older people. The management of these fractures varies widely. This is an update of a Cochrane Review first published in 2001 and last updated in 2012. OBJECTIVES: To assess the effects (benefits and harms) of treatment and rehabilitation interventions for proximal humeral fractures in adults. SEARCH METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, and other databases, conference proceedings and bibliographies of trial reports...
2015: Cochrane Database of Systematic Reviews
A Ruffilli, F Traina, F Pilla, D Fenga, C Faldini
Shoulder impairment following anterograde intramedullary nailing for humeral shaft fractures represents a challenging problem for the orthopedic surgeon. Traditional retrograde nailing lowers the rates of shoulder impairment although exposing the surgeons to severe technical issues related to the proximal interlocking. The Marchetti Vicenzi nail (MVN) permits a retrograde insertion along with a self-locking mechanism that lowers the risk of iatrogenic damage during proximal interlocking. Aim of this literature review was to evaluate all the case series dealing with MVN and the obtained results in terms of union rates, complications, and functional outcomes in order to evaluate evidence that would substantiate the adoption of MVN in the treatment of humeral shaft fractures...
December 2015: Musculoskeletal Surgery
Yu Fan, Yue-Wang Li, Hong-Bo Zhang, Jian-Fei Liu, Xiang-Min Han, Xiao Chang, Xi-Sheng Weng, Jin Lin, Bao-Zhong Zhang
Surgical fixation of humeral shaft fractures generally involves plating or nailing. It is unclear whether one method is more effective than the other. The aim of this study was to compare the results of the intramedullary nail and locking compression plate for the treatment of humeral shaft fractures. A total of 60 patients with humeral shaft fractures were randomized to undergo surgery with an intramedullary interlocking nail (n=30) or locking compression plate (n=30). The outcome was assessed in terms of intraoperative blood loss, operative time, hospital stay, union time, union rate, functional outcome, and incidence of complications...
September 2015: Orthopedics
Guoqi Wang, Zhi Mao, Lihai Zhang, Licheng Zhang, Yanpeng Zhao, Peng Yin, Ling Gao, Peifu Tang, Hongjun Kang
PURPOSE: This meta-analysis compared the clinical outcomes of locking plate with intramedullary nail in the treatment of displaced proximal humeral fractures. METHODS: We searched PubMed, Embase, and the Cochrane databases for studies comparing locking plate and intramedullary nail treatment of displaced two-, three-, or four-part proximal humeral fractures. The quality of the studies was assessed, and meta-analysis was performed using the Cochrane Collaboration's REVMAN 5...
2015: Journal of Orthopaedic Surgery and Research
Gabriele Campochiaro, Paolo Baudi, Roberta Loschi, F Serafin, Fabio Catani
BACKGROUND: indications for surgical treatment of complex humeral shaft fractures are still controversial. The purpose of this study was to evaluate the outcomes of treating humeral shaft fractures using antegrade locked  intramedullary nail, compared to the treatment with traditional more aggressive techniques such as plate and screws. METHODS: between February 2008 and January 2011 38 patients were treated with antegrade locked intramedullary nail for humeral shaft fractures, divided according to the AO classification...
2015: Acta Bio-medica: Atenei Parmensis
Juan Martin Patino
BACKGROUND: The purpose of this study was to evaluate shoulder outcomes and function after humeral shaft fractures treated with antegrade nailing. MATERIALS AND METHODS: Thirty patients with acute humeral shaft fractures who underwent antegrade locked intramedullary nailing were retrospectively studied. Range of motion (ROM) of the affected shoulder was evaluated, comparing it with the nonaffected shoulder, radiologic position of the nails, complications, and need for a second surgery...
August 2015: Journal of Shoulder and Elbow Surgery
P Schwabe, M Ruppert, S Tsitsilonis, I Melcher, K-D Schaser, S Märdian
PURPOSE OF THE STUDY Evaluation of outcome after surgical treatment of humerus metastases with a focus on tumour and patient derived factors, timing and strategy of intervention, surgical outcome and complications. MATERIAL AND METHODS Sixty-fie patients with a mean age of 64.3 years (range 25-89) with 66 metastases of the humerus were surgically treated in a 7-year time-period and retrospectively reviewed. RESULTS Renal cell carcinoma and breast cancer were the most abundant types of primary tumour. The mean time from diagnosis of primary tumour to fist metastasis was 14...
2014: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
L Pidhorz
Humeral shaft fractures account for up to 5% of all fractures. Many of these fractures are still being treated conservatively using functional (Sarmiento) bracing or a hanging arm cast. Union is achieved in 10 weeks in more than 94% of cases. Angulation of less than 30° varus or valgus and less than 20° flessum or recurvatum can be tolerated by the patient from a functional and esthetic point of view. The ideal candidate for this treatment is a patient with an isolated fracture. Plate and screw fixation of the fracture results in union in 11 to 19 weeks...
February 2015: Orthopaedics & Traumatology, Surgery & Research: OTSR
Radu Radulescu, Adrian Badila, Octavian Nutiu, Ionut Japie, Silvia Terinte, Dragos Radulescu, Robert Manolescu
ABSTRACT: HASH(0x3133c28) OBJECTIVES: To compare the clinical results of osteosynthesis with plate and screws versus anterograde locked intramedullary nail in fractures of the distal third of humeral diaphysis. MATERIAL AND METHODS: 184 patients with fractures of the distal third of humeral diaphysis were included in a prospective study. 82 patients underwent open reduction and internal fixation with plate and screws (Group 1), while in 102 cases, closed reduction and osteosynthesis with locked intramedullary nail was performed (Group 2)...
March 2014: Mædica
G Boudard, G Pomares, L Milin, I Lemonnier, H Coudane, D Mainard, J-P Delagoutte
INTRODUCTION: There is no consensus on the treatment of proximal humeral fractures. The goal of the present retrospective observational study was to compare functional and radiological results and complications of internal fixation using locking plates versus antegrade nailing in the treatment of non-osteoporotic Neer classification 3- and 4-part fractures after a least 1 year of follow-up. MATERIAL AND METHODS: Internal fixation was performed in 67 fractures (1 bilateral): 35 by locking plate (1 lost to follow-up, 1 deceased) and 32 by intramedullary nailing (2 lost to follow-up) between January 1st, 2004 and December 31st, 2010...
December 2014: Orthopaedics & Traumatology, Surgery & Research: OTSR
K Smejkal, P Lochman, T Dědek, J Trlica
PURPOSE OF THE STUDY: The aim of the study was to compare two surgical methods of treating diaphyseal fractures of the humerus. MATERIAL AND METHODS: A prospective randomised study on the surgical treatment of humeral diaphyseal fractures was carried out between September 2009 and January 2013. The patients indicated for surgical treatment fell into two groups according to the technique used as follows: minimally invasive plate osteosynthesis (MIPO) with a locking compression plate (LCP; Synthes, Switzerland); depending on the fracture type and course of fracture line, either a straight narrow or a Philos or a metaphyseal LCP was used (group 1); and intramedullary nailing (EHN, Synthes, Switzerland) (group 2)...
2014: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Bailian Liu, Ying Xiong, Hong Deng, Shao Gu, Fu Jia, Qunhui Li, Daxing Wang, Xuewen Gan, Wei Liu
OBJECTIVE: The purpose of this study is to compare the clinical effects of our self-designed rotary self-locking intramedullary nail (RSIN) and interlocking intramedullary nail (IIN) for long bone fractures. METHODS: A retrospective study was performed in 1,704 patients who suffered bone fractures and underwent RSIN or IIN operation in our hospital between March 1999 and March 2013, including 494 with femoral fractures, 572 with humeral fractures, and 638 with tibial fractures...
2014: Journal of Orthopaedic Surgery and Research
Eduardo Benegas, Arnaldo Amado Ferreira Neto, Mauro Emilio Conforto Gracitelli, Eduardo Angeli Malavolta, Jorge Henrique Assunção, Flávia De Santis Prada, Raul Bolliger Neto, Rames Mattar
BACKGROUND: Minimally invasive plate osteosynthesis for humeral shaft fractures has been described recently, but there are no randomized studies comparing the clinical results for shoulder function between this technique and locking intramedullary nailing. METHODS: A prospective randomized study was performed. Forty-one humeral shaft fractures (40 patients) were randomized to be treated with a minimally invasive plate (n = 21) or a locking intramedullary nail (n = 19)...
June 2014: Journal of Shoulder and Elbow Surgery
Peng Yin, Zhi Mao, Lihai Zhang, Sheng Tao, Qun Zhang, Xiangdang Liang, Hao Zhang, Anhua Long, Guoqi Wang, Peifu Tang
OBJECTIVE: To compare the effectiveness between locking compression plate (LCP) and locked intramedullary nail (IMN) for humeral shaft fractures of types B and C. METHODS: Between January 2010 and January 2012, 46 patients with humeral shaft fractures of types B and C were treated, and the clinical data were retrospectively analyzed. LCP was used for internal fixation in 22 cases (LCP group), and IMN in 24 cases (IMN group). There was no significant difference in gender, age, injury causes, the side of fracture, the site of fracture, the type of fracture, associated injury, and time from injury to operation between 2 groups (P > 0...
December 2013: Chinese Journal of Reparative and Reconstructive Surgery
Justus Lieber, Peter Schmittenbecher
Shaft fractures of the long bones are among the most common pediatric injuries. They are characterized by a limited potential for spontaneous correction because of the fractures--distance to the physis. Although conservative treatment has been practiced for many years with satisfying results, several aspects have led to an increase in the numbers of surgical procedures including changes of living, sports habits, economics, and patients-request to treatment. We reviewed the literature to describe developments of treatment concepts of pediatric shaft fractures...
December 2013: European Journal of Pediatric Surgery
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