Year : 2015 | Volume
: 28 | Issue : 1 | Page : 125--132
Treatment of humeral shaft fractures by a single elastic stable intramedullary nail in children
Ahmad Abd El-Azeem Abosalim, Ahmad Fouad Shams El-Din, Hesham Mohammed El-Mowafy
Orthopedic Surgery Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt
The aim of this study was to assess the effectiveness of intramedullary fixation of displaced humeral shaft fractures in skeletally immature children using a single elastic stable intramedullary nail.
Almost all pediatric humeral shaft fractures can be treated successfully using closed methods. Some patients, however, require internal fixation either because of an inability to maintain an adequate reduction, significant soft tissue injury, or concomitant fractures. In this study, the functional and radiological results of the management of humeral shaft fractures in children using a single retrograde elastic intramedullary nail will be evaluated.
Patients and methods
Twenty pediatric patients ranging in age from 6 to 16 years (mean age 10 years) were treated surgically using a retrograde single elastic intramedullary nail. Relative surgical indications included open fractures, inability to maintain an acceptable reduction, concomitant lower extremity fractures, and closed head injury. Two patients had associated radial nerve injury at presentation. Among the patients, 16 were males and four were females.
The patients were followed for a mean of 5.5 months, with a range from 4 to 6 months. Radiographically, all fractures healed in good alignment. Solid union occurred from 5 to 10 weeks, with a mean of 8 weeks. There were no intraoperative complications, including neurologic or vascular injury, and two patients developed superficial wound infections postoperatively.
It was found that single elastic intramedullary nail fixation with the aid of a functional arm brace is an adequate technique for the treatment of humeral shaft fractures in pediatric patients when surgical stabilization is indicated. This simple minimally invasive technique provides stable fixation, with minimal soft tissue stripping at the fracture site, and led to bone union in all the cases studied.
Level of evidence
Case series, level IV.
Ahmad Abd El-Azeem Abosalim
Elshamy Street, Menouf, Menoufia
|How to cite this article:|
Abosalim AA, El-Din AF, El-Mowafy HM. Treatment of humeral shaft fractures by a single elastic stable intramedullary nail in children.Menoufia Med J 2015;28:125-132
|How to cite this URL:|
Abosalim AA, El-Din AF, El-Mowafy HM. Treatment of humeral shaft fractures by a single elastic stable intramedullary nail in children. Menoufia Med J [serial online] 2015 [cited 2020 Apr 10 ];28:125-132
Available from: http://www.mmj.eg.net/article.asp?issn=1110-2098;year=2015;volume=28;issue=1;spage=125;epage=132;aulast=Abosalim;type=0