Abstract

The aim of the study is to study functional and radiological outcome of shaft humerus fracture treated with humerus interlocking nail in adult population. In all patients fracture was temporarily stabilized with Plaster of Paris U-Slab and arm pouch sling. It was made sure to stabilize the patient optimally and adequate pain management was undertaken. Medications for their existing comorbidities were continued. Results: The functional Range of Movements in shoulder joint after Nailing is excellent and good in 90% of patients and fair in (10% patient). The decrease in movement in 1 patient is due to the impingement of nail. The elbow function recovered in almost all patients with 89% excellent result and 11 % has good recovery. Conclusion: The chance of infection is more in the Plating group than in patients treated with Closed reduction and Interlocking Nailing patients. The Restriction of shoulder movements are seen in patients in the Nailing group possible due to Prominent nail tip at the entry site and also due to violation of the Rotator Cuff. Non-union can occur due to distraction of the fracture site while Nailing. The better designed interlocking nails with improved surgical techniques have promising results with several advantages. Interlocking nailing is a relatively quick, minimally invasive, biomechanically sound, cosmetically better method of internal stabilization of shaft humerus fractures with less union time, less infection and lesser threat to radial nerve and other complications.

Description