Original scientific paper

https://doi.org/10.20471/acc.2016.55.01.16

Humeral Nail: Comparison of the Antegrade and Retrograde Application

Ivan Benčić ; Clinical Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Tomislav Čengić ; Clinical Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Jakov Prenc ; Clinical Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Nikola Bulatović ; Clinical Department of Orthopedic Surgery and Traumatology, University Center of Montenegro, Podgorica, Montenegro
Aljoša Matejčić ; Clinical Department of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

Abstract

Application of humeral nail in the treatment of humeral shaft fractures is a relatively novel method of fracture fixation. Its application at Clinical Department of Traumatology, Sestre milosrdnice University Hospital Center began in 2001. The operative procedure should be performed using a minimally invasive technique without fracture opening in order to maintain optimal conditions for fracture healing including hematoma management. However, in everyday practice it is often impossible to obtain satisfactory fracture reduction using the closed procedure, so open reduction and additional fixation with wires or screws are mandatory. Over the last 14 years, fixation of fractures with the locking nail was performed in more than 400 patients. Cases of pseudarthrosis and pathological fractures were also managed successfully. There were more female patients. The mean time from injury to surgery was 2.4 days. Surgery was performed immediately
upon admission to the emergency service whenever possible. This study comprised 234 patients with humeral shaft fractures treated with the humeral nail (antegrade insertion was applied in 103 and retrograde in 131 patients). The aim of the study was to stress out the complexity of appropriate operative treatment of humeral shaft fractures using intramedullary fixation, as well as the importance of proper reduction and stable fixation.

Keywords

Humerus fractures; Fracture fixation, intramedullary – methods; Bone nails – utilization

Hrčak ID:

161285

URI

https://hrcak.srce.hr/161285

Publication date:

1.3.2016.

Article data in other languages: croatian

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