Original scientific paper

https://doi.org/10.20471/acc.2019.58.04.10

Treatment of Humeral Shaft Fractures: Antegrade Interlocking Intramedullary Nailing with Additional Interlocking Neutralization Screws through Fracture Site

Dinko Vidović ; Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Ivan Benčić ; Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Tomislav Ćuti ; Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Domagoj Gajski ; Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Tomislav Čengić ; Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia
Marijo Bekić ; Orthopedic and Traumatology Department, Dubrovnik General Hospital, Dubrovnik, Croatia
Mario Zovak ; Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; School of Dental Medicine, University of Zagreb, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Srećko Sabalić ; Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; School of Medicine, University of Split, Split, Croatia
Dejan Blažević ; Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; University of Applied Health Sciences, Zagreb, Croatia

Abstract

The aim of this study was to compare union time between two different nail designs for the treatment of humeral shaft fracture, i.e. antegrade interlocking intramedullary nail with and without additional interlocking neutralization screws. The retrospective study included 51 patients treated with antegrade humeral intramedullary nailing between January 2015 and December 2017. The inclusion criteria of the study were proximal and middle third humeral shaft fractures. Fifty-one patients met the inclusion criteria; 23 patients were treated with antegrade intramedullary nail with additional interlocking neutralization screws through fracture site (group A) and 28 patients were treated with antegrade intramedullary nail without additional interlocking neutralization screws (group B). Medical documentation and radiographic images taken preoperatively and postoperatively
were reviewed. Radiological union was defined as cortical bridging of at least three of four cortices in two-plane radiographs, with disappearance of the fracture gap. There were no significant differences in union time between the groups (p>0.05). To our knowledge, this is the first report of antegrade interlocking humeral nailing with additional interlocking neutralization screws through fracture site. Hypothetical advantages of fracture gap reduction by additional interlocking neutralization screws to
promote union were not confirmed by this first clinical trial.

Keywords

Humerus; Humeral fractures; Fracture fixation, intramedullary; Bone and bones

Hrčak ID:

235153

URI

https://hrcak.srce.hr/235153

Publication date:

1.12.2019.

Article data in other languages: croatian

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