SURGICAL MANAGEMENT OF DIAPHYSEAL FRACTURE OF HUMERUS BY INTRAMEDULLARY INTERLOCKING NAILING IN OUR GOVERNMENT GENERAL HOSPITAL

Shyam Kumar.C; Reddiharikumar.S; Venkateswararao.D; Venkateswara Swamy.P

Volume : X, Issue : III, March - 2020

SURGICAL MANAGEMENT OF DIAPHYSEAL FRACTURE OF HUMERUS BY INTRAMEDULLARY INTERLOCKING NAILING IN OUR GOVERNMENT GENERAL HOSPITAL

Shyam Kumar. C, Reddiharikumar. S, Venkateswararao. D, Venkateswara Swamy. P

Abstract :

Background: Operative management of fracture shaft of the humerus can be with plate osteosynthesis or with intramedullary nailing. In this study, we have tried to analyze the outcome in terms of time for consolidation, union rates, functional results, and complications of humeral shaft fractures managed with closed antegrade interlocking nailing. The study was conducted in a government general hospital, Siddhartha medical college, Vijayawada. Methods: A series of 30 patients with acute fractures of the shaft of the humerus were treated with antegrade interlocking nailing during november 2017 to November 2019. There were 19 males and 11 females with an average age of 44.37 years (18–75 years). All the patients were followed up for an average period of 6.76 months, and results were analyzed. Results: 30 (100%) fractures united with an average consolidation time of 13.067 weeks (11–16 weeks. Functional results were excellent in 27(90%), moderate in 2(6.6%), and poor in 1(3.3%). Conclusion: Closed antegrade interlocking nailing offers a safe and reliable method of fixing fractures of the humeral shaft, with early fracture consolidation and higher union rates. It provides early rehabilitation and reduces the hospital stay.