TREATMENT OF HUMERAL SHAFT FRACTURES: ANTEGRADE INTERLOCKING INTRAMEDULLARY NAILING WITH ADDITIONAL INTERLOCKING NEUTRALIZATION SCREWS THROUGH FRACTURE SITE.

Aged Bone Nails Bone Screws Female Fracture Fixation / methods Fracture Fixation, Intramedullary / methods Humans Humeral Fractures / surgery Male Middle Aged Retrospective Studies
Bone and bones Fracture fixation, intramedullary Humeral fractures Humerus

Journal

Acta clinica Croatica
ISSN: 1333-9451
Titre abrégé: Acta Clin Croat
Pays: Croatia
ID NLM: 9425483

Informations de publication

Date de publication:
Dec 2019
Historique:
entrez: 30 6 2020
pubmed: 1 7 2020
medline: 21 7 2020
Statut: ppublish

Résumé

The aim of this study was to compare union time between two different nail designs for the treatment of humeral shaft fracture, i.e. antegrade interlocking intramedullary nail with and without additional interlocking neutralization screws. The retrospective study included 51 patients treated with antegrade humeral intramedullary nailing between January 2015 and December 2017. The inclusion criteria of the study were proximal and middle third humeral shaft fractures. Fifty-one patients met the inclusion criteria; 23 patients were treated with antegrade intramedullary nail with additional interlocking neutralization screws through fracture site (group A) and 28 patients were treated with antegrade intramedullary nail without additional interlocking neutralization screws (group B). Medical documentation and radiographic images taken preoperatively and postoperatively were reviewed. Radiological union was defined as cortical bridging of at least three of four cortices in two-plane radiographs, with disappearance of the fracture gap. There were no significant differences in union time between the groups (p>0.05). To our knowledge, this is the first report of antegrade interlocking humeral nailing with additional interlocking neutralization screws through fracture site. Hypothetical advantages of fracture gap reduction by additional interlocking neutralization screws to promote union were not confirmed by this first clinical trial.

Identifiants

DOI: 10.20471/acc.2019.58.04.10 PMID: 32595248 PMC: PMC7314309
pubmed: 32595248
doi: 10.20471/acc.2019.58.04.10
pii: acc-58-632
pmc: PMC7314309
doi:

Types de publication

Comparative Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

632-638

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Auteurs

Dinko Vidović (D)

1Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 3School of Dental Medicine, University of Zagreb, Zagreb, Croatia; 4School of Medicine, University of Zagreb, Zagreb, Croatia; 5School of Medicine, University of Split, Split, Croatia; 6University of Applied Health Sciences, Zagreb, Croatia; 7Orthopedic and Traumatology Department, Dubrovnik General Hospital, Dubrovnik, Croatia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia.

Ivan Benčić (I)

1Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 3School of Dental Medicine, University of Zagreb, Zagreb, Croatia; 4School of Medicine, University of Zagreb, Zagreb, Croatia; 5School of Medicine, University of Split, Split, Croatia; 6University of Applied Health Sciences, Zagreb, Croatia; 7Orthopedic and Traumatology Department, Dubrovnik General Hospital, Dubrovnik, Croatia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia.

Tomislav Ćuti (T)

1Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 3School of Dental Medicine, University of Zagreb, Zagreb, Croatia; 4School of Medicine, University of Zagreb, Zagreb, Croatia; 5School of Medicine, University of Split, Split, Croatia; 6University of Applied Health Sciences, Zagreb, Croatia; 7Orthopedic and Traumatology Department, Dubrovnik General Hospital, Dubrovnik, Croatia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia.

Domagoj Gajski (D)

1Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 3School of Dental Medicine, University of Zagreb, Zagreb, Croatia; 4School of Medicine, University of Zagreb, Zagreb, Croatia; 5School of Medicine, University of Split, Split, Croatia; 6University of Applied Health Sciences, Zagreb, Croatia; 7Orthopedic and Traumatology Department, Dubrovnik General Hospital, Dubrovnik, Croatia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia.

Tomislav Čengić (T)

1Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 3School of Dental Medicine, University of Zagreb, Zagreb, Croatia; 4School of Medicine, University of Zagreb, Zagreb, Croatia; 5School of Medicine, University of Split, Split, Croatia; 6University of Applied Health Sciences, Zagreb, Croatia; 7Orthopedic and Traumatology Department, Dubrovnik General Hospital, Dubrovnik, Croatia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia.

Marijo Bekić (M)

1Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 3School of Dental Medicine, University of Zagreb, Zagreb, Croatia; 4School of Medicine, University of Zagreb, Zagreb, Croatia; 5School of Medicine, University of Split, Split, Croatia; 6University of Applied Health Sciences, Zagreb, Croatia; 7Orthopedic and Traumatology Department, Dubrovnik General Hospital, Dubrovnik, Croatia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia.

Mario Zovak (M)

1Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 3School of Dental Medicine, University of Zagreb, Zagreb, Croatia; 4School of Medicine, University of Zagreb, Zagreb, Croatia; 5School of Medicine, University of Split, Split, Croatia; 6University of Applied Health Sciences, Zagreb, Croatia; 7Orthopedic and Traumatology Department, Dubrovnik General Hospital, Dubrovnik, Croatia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia.

Srećko Sabalić (S)

1Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 3School of Dental Medicine, University of Zagreb, Zagreb, Croatia; 4School of Medicine, University of Zagreb, Zagreb, Croatia; 5School of Medicine, University of Split, Split, Croatia; 6University of Applied Health Sciences, Zagreb, Croatia; 7Orthopedic and Traumatology Department, Dubrovnik General Hospital, Dubrovnik, Croatia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia.

Dejan Blažević (D)

1Department of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 2Department of Surgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 3School of Dental Medicine, University of Zagreb, Zagreb, Croatia; 4School of Medicine, University of Zagreb, Zagreb, Croatia; 5School of Medicine, University of Split, Split, Croatia; 6University of Applied Health Sciences, Zagreb, Croatia; 7Orthopedic and Traumatology Department, Dubrovnik General Hospital, Dubrovnik, Croatia; 8Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › TREATMENT OF HUMERAL SHAFT FRACTURES:...
questionsmedicales.fr › Équipement et fournitures › Équipement chirurgical › Matériels de fixation chirurgicale › Appareils de fixation orthopédique › Fixateurs internes › Clous orthopédiques › TREATMENT OF HUMERAL SHAFT FRACTURES:...
questionsmedicales.fr › Équipement et fournitures › Équipement chirurgical › Matériels de fixation chirurgicale › Appareils de fixation orthopédique › Fixateurs internes › Vis orthopédiques › TREATMENT OF HUMERAL SHAFT FRACTURES:...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures orthopédiques › Ostéosynthèse › TREATMENT OF HUMERAL SHAFT FRACTURES:...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures orthopédiques › Ostéosynthèse › Ostéosynthèse interne › Ostéosynthese intramedullaire › TREATMENT OF HUMERAL SHAFT FRACTURES:...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › TREATMENT OF HUMERAL SHAFT FRACTURES:...
questionsmedicales.fr › Plaies et blessures › Fractures osseuses › Fractures de l'humérus › TREATMENT OF HUMERAL SHAFT FRACTURES:...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › TREATMENT OF HUMERAL SHAFT FRACTURES:...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › TREATMENT OF HUMERAL SHAFT FRACTURES:...