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The functional recovery showed by intramedullary nail was
even faster in patients younger than 65 years but not influenced by the gender of
the patient.
According to the investigators of the
University of Turin and San Luigi Gonzaga Hospital of Orbassano, “the antegrade
intramedullary nail is a minimally invasive therapy for proximal and diaphyseal
humeral fractures operation with an accelerated improvement in range of motion,
an immediate rehabilitation and tolerable pain. As the proximal and diaphyseal
humeral fractures are not a rare event throughout the world, for its management
is the surgical approach is a viable choice to decrease limb immobilization and
improve functional ability to return to day-to-day activities.
This study determined the outcomes of
intramedullary nail among the patients treated between January 2010 to December
2016 (with a minimum follow-up of 6 months). Subjects were assessed for
postoperative complications, healing time, and functional recovery. Statistical
analysis was performed by applying the t-test.
The analysis involved a total of 75 cases with
diaphyseal and 20 cases with proximal fractures. Bone callus production a mean
of 57 days following the operation. The overall functionality got improved with
time and patients younger than 65 years showed better outcomes. No impact of
patients' gender and type of fracture was seen over the consequences. A total
of 18 cases required blood transfusions. No infections have occurred, and
eventually, 10 cases went through revision surgery. All the study findings
indicate that intramedullary nail is an effective treatment approach for
proximal and diaphyseal humeral fractures.
Musculoskeletal Surgery
Six-year experience with antegrade intramedullary nail for the treatment of proximal and diaphyseal humeral fractures.
A. Pautasso et al.
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