Title: Closed Intramedullary Nailing in Treatment of Displaced Diaphyseal Fractures of Shaft Humerus in Adults in rural setup

Authors: Dr Kiran N. Wandile, Dr Gajanan Chintawar, Dr C. M. Badole

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i7.104

Abstract

Background: Humerus serves an important role in upper extremity functions facilitating manoeuvring of hand in space. Various modalities of treatment for fixation of shaft humerus have stood the test of time and have their own advantages and disadvantages.

Methods: A study of 35 patients of fracture shaft humerus were treated with closed intramedullary nailing using Rush nail and V nail in department of orthopaedics at Mahatma Gandhi Institute of Medical Sciences , Sewagram (Wardha), a rural hospital of central India.

Results: In this study out of 35 patients, there were 19 males and 16 females, the age ranges from 19 -65 years. Most of the fractures were at the middle third of the shaft. Transverse fracture was the most common pattern observed. Average time taken for union was around 12.7 weeks. Commonest complication was shoulder stiffness.

Conclusion:  Intramedullary nailing is an effective treatment for diaphyseal humeral fractures.

Keywords: Diaphyseal humerus fracture, closed, intramedullary nailing.

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Corresponding Author

Dr Kiran N. Wandile