Document Detail

The use of locked nails in the treatment of humeral shaft: delayed union and nonunion.
MedLine Citation:
PMID:  15961934     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To assess the results and clinical outcome of delayed union and nonunion humeral shaft treatment using locked medullary nails. SUBJECTS AND METHODS: The Russel and Taylor humeral locking nail was used to treat 21 patients with humeral shaft fractures at Al Razi hospital, Kuwait, from 1997 to 2001. Of these, 8 had delayed union and 13 nonunion. Also, 13 had previous operative treatment, while 8 had nonoperative treatment. Antegrade nailing was done in all cases, and all nails were fixed statically. Autogenous iliac bone grafts were used in 17 cases. RESULTS: Of the 21 cases of fractures, 19 were united. Only 2 cases had persistent nonunion. Eighteen cases had satisfactory shoulder function, and 3 lost shoulder abduction between 40 and 65 degrees. CONCLUSION: Our data showed that humeral locked nails can achieve satisfactory clinical results in treating humeral shaft delayed unions and nonunions.
Ali Al Mukaimi; Ahmed Mokhtar; Mohamed Abo El Nass
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical principles and practice : international journal of the Kuwait University, Health Science Centre     Volume:  14     ISSN:  1011-7571     ISO Abbreviation:  Med Princ Pract     Publication Date:    2005 Jul-Aug
Date Detail:
Created Date:  2005-06-17     Completed Date:  2006-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8901334     Medline TA:  Med Princ Pract     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  245-9     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2005 S. Karger AG, Basel.
Al Razi Orthopedic Hospital, Kuwait City, Kuwait.
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MeSH Terms
Bone Nails / utilization*
Fracture Fixation, Internal / methods*
Fracture Healing*
Fractures, Ununited / surgery*
Humeral Fractures / radiography,  surgery*
Middle Aged
Range of Motion, Articular
Shoulder Fractures / radiography,  surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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