Study of Locked Intramedullary Nail for Humeral Shaft Fractures

  • Matsunaga Kazutaka
    Department of Orthopaedic Surgery, Fukuoka Tokushukai Medical Center, Fukuoka, Japan
  • Onoue Hidetoshi
    Department of Orthopaedic Surgery, Fukuoka Tokushukai Medical Center, Fukuoka, Japan
  • Kimura Kazuo
    Department of Orthopaedic Surgery, Fukuoka Tokushukai Medical Center, Fukuoka, Japan
  • Yamaguchi Tetsu
    Department of Orthopaedic Surgery, Fukuoka Tokushukai Medical Center, Fukuoka, Japan
  • Hirai Nobuyuki
    Department of Orthopaedic Surgery, Fukuoka Tokushukai Medical Center, Fukuoka, Japan
  • Nobutou Shinri
    Department of Orthopaedic Surgery, Fukuoka Tokushukai Medical Center, Fukuoka, Japan
  • Shirachi Hitoshi
    Department of Orthopaedic Surgery, Fukuoka Tokushukai Medical Center, Fukuoka, Japan

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Other Title
  • 上腕骨骨幹部骨折に対する横止め髄内釘法の検討

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Abstract

We reviewed seven humeral shaft fractures treated by locked intramedullary nail. The patients were three males and four females. The mean age at operation was 67 years (range 40 to 91). AO classification of the fractures was: type A2 : 2, B1 : 1, B2 : 2, and B3 : 1. All fractures were located at the shaft (mid 1/3). The follow-up periods averaged l2 months (4 to 18) Bone union were observed in six fractures, but one fracture had nonunion. No cases complained of shoulder pain, or complication of radial nerve palsy after operation. This study suggests antegrade locked intramedullary nail to be an effective surgical method for humeral shaft fractures in elderly patients.

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