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Treatment of humeral shaft fracture by interlocking IM nail
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Byung Jik Kim, Jung Gook Seo, Suk Kyu Choo, Yoon Seong Yoon
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J Korean Soc Fract 1994;7(2):642-647. Published online November 30, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.2.642
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Abstract
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- The ideal treatment for humeral shaft fractures has been a topic of discussion for long times. Conventionally conservative methods like hanging arm cast, coaptation splint and functional brace were used. The operative treatment included plate and screws, intramedullary rods were used.
The many known advantage of interlocking nails used in femur and tibia fractures were recently applied to humeral shaft fracture. Among them Seidel nail developed by Dr. Seidel in 1989 was inserted by splitting the rotator cuff and distal locking by expanding the distal tip of the nail through a long screw driver. This study is a preliminary report of first 10 cases of humeral shaft fracture which was internally fixed with Seidel nail during the period of September 1992 to September 1993.
The findings are as follows.
1. 9 out of 10 cases(90%) achieved union.
2. Average union time was 10 weeks.
3, According to Neers shoulder functional score, 8 patients(80%) achieved either satisfactory or excellent shoulder function postoperatively.
4. 2 complications occurred. One nonunion and one distal fixation failure.
Since fixation of humeral shaft fracture, by Seidel nail can achieve high union rate and good shoulder function, it should be considered as one of many methods to treat humeral shaft fracture.
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Clinical Results of the Delayed & Non-union of the Long Bones with Interlocking Intramedullary Nailing
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Han Suk Go, Yoon Seong Yoon, Eung Sun Ahl
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J Korean Soc Fract 1994;7(1):167-173. Published online May 31, 1994
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DOI: https://doi.org/10.12671/jksf.1994.7.1.167
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Abstract
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- Delayed & non-union are common complications of the fracture of long bones. Many kinds of treatment modalities for delayed & non-union have been reported, but rigid fixation and bone graft have been the most common accepted method.
The interlocking Intramedullary nailing technique has advantages which the rigid internal fixation and bone grafting effect of reaming debris.
We treated nine cases of delayed & non-union of femur and tibia at the Department of Orthopedic Surgery, Seoul Paik Hospital from Jan. 1990 to Octo. 1992 and results were as follows.
1. Nine cases of the delayed & non-union were consisted by 7 cases of femur and 2 cases of tibia.
2. Causes of delayed & non-union were failure of implants in 4 cases, inadequate and inappropriate immobilization in 3 cases, and persistent gap in 2 cases.
3. Union was achieved in 7 cases and union rate is 77.8%.
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