Vol. 6, Issue 1 (2020)
Surgical management of diaphyseal fractures of shaft of humerus by IMIL nailing in adults
Author(s):
Dr. Subodh Shetty and Dr. Ankit Narang
Abstract:
Fractures of diaphyseal fracture humerus shaft in adults is itself a great dilemma and becomes more difficult to treat. So in this new era of fast paced technologies, an aggressive approach is required to treat such fractures in view of early rehabilitation and return to occupation. This prospective randomized study was conducted at department of Orthopedics in Jagadguru Jayadeva Murugarajendra medical college Davanagere Karnataka to evaluate outcomes of intramedullary interlocking nail as primary fixation method in diaphyseal fracture shaft of humerus in adults. Surgery duration was less in intramedullary nail because in most of the cases fractures were easily reduced, minimal surgical exposure and associated less closure time. Intra operative image intensifier use was significantly more because of distal screw locking and determination of naillength.
Post operatively aim of the treatment was to do early mobilization and early fracture union due to preservation of fracture hematoma. In follow up of cases at 6 week, 3, 6, 12 month as per functional outcomes patients had very mild difficulty in performing activities of daily living. On concluding the outcome as per Rommen et al. Criteria at 23.5 weeks excellent score was found in 76.6% cases of interlocking nail while it was poor in 3.3% cases and remaining had moderate outcomes.
Pages: 425-430 | 1456 Views 285 Downloads
How to cite this article:
Dr. Subodh Shetty and Dr. Ankit Narang. Surgical management of diaphyseal fractures of shaft of humerus by IMIL nailing in adults. Int. J. Orthop. Sci. 2020;6(1):425-430. DOI: 10.22271/ortho.2020.v6.i1h.1900
