Titanium elastic nail system: a practice based study on fractures of the humerus shaft | [Pakistan Journal of Medical and Health Sciences • 2020]

Author(s):

1. Tariq Rasheed: King Fahad General Hospital, Jeddah, KSA

2. Asif Hasan: King Fahad General Hospital, Jeddah, KSA

3. Khurram Aziz Siddiqui: King Fahad General Hospital, Jeddah, KSA

4. Syed Khalid Kazmi: King Edward Medical University, Lahore, Pakistan

5. Israr Ahmed: RHC, Nindo, Badin

6. Tahir Ahmed: Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan

Abstract:

Aim: To evaluate the functional outcomes of titanium elastic nail system in fractures of humerus. Study Design: Prospective study Place and duration of study: Orthopedic Department, King Fahad General Hospital, Jeddah, Kingdom of Saudi Arabia from 1st July 2017 to 30th2019. Methodology: Fifty patients with mature skeleton mature with closed fractures of shaft/distal one third of humerus managed through titanium elastic nailing system were included where as other types of fractures and immature skeleton patients were excluded.The surgical techniqueused was the antegrade/retrograde entry points elastic nails for managing the mid-shaft fracture whereas the fractures of the distal one third fractures were managed with antegrade entry point. Immobilization was achieved with sling over 2-3 weeks and analgesics were used for pain management with a postoperative follow up on 2nd,6th and 12th weeks while radiographic union as well as range of movement was assess even after one year. Results: There were 50 patients enrolled in this study and followed up for one year out of which male patients were 74% and females were 26% and the mean age of our patients was 27±4years. Polytrauma patients were in majority with 60%, bending wedge fractures were 19%, oblique fractures were 15% and rest were of transverse nature. The union rate was 98% with the union time of 8-16 weeks. Non-union was observed in one patient (2%) that was repeated with plate osteosynthesis. Functional range of motion at shoulder and elbow joints was achieved in 47(94%) in patients while elbow stiffness was seen in 3(6%) patients requiring manipulation under anesthesia, radial nerve damage was seen in 3(6%) patients post-operatively and both recovered during the follow up period. Conclusion: The mention technique was found to beacceptable method for managing the mid-shaft fractures and distal third fractures of humerus with excellent union and nice functional outcomes and less complication rates.

Page(s): 1084-1086

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical and Health Sciences, Volume: 14, Issue: 4, Year: 2020

Keywords:

Union , Titanium elastic nail , Shaft fractures , Functional outcomes

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