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Preliminary results from osteosynthesis using Ender nails by means of a percutaneous technique, in humeral diaphysis fractures in adults.

Godinho GG, França Fde O, Freitas JM, Santos FM, Correa Gde A, Maia LR - Rev Bras Ortop (2015)

Bottom Line: In addition to the clinical and radiographic evaluations, patients with a minimum of one year of follow-up were assessed by means of the Constant, American Shoulder and Elbow Surgeons (ASES), Mayo Clinic and Simple Shoulder Value (SSV) functional scores, and in relation to the degree of satisfaction with the final result.Fixation of humeral diaphysis fractures using Ender nails by means of a percutaneous technique was shown to be a method with promising preliminary results.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Hospital Ortopédico (HO), Belo Horizonte, MG, Brazil ; Hospital Belo Horizonte (HBH), Belo Horizonte, MG, Brazil ; Hospital Lifecenter (HLC), Belo Horizonte, MG, Brazil.

ABSTRACT

Objective: To demonstrate the clinical and functional results from treatment of humeral diaphysis fractures using Ender nails.

Methods: Eighteen patients who underwent osteosynthesis of humeral diaphysis fractures using Ender nails were evaluated. In addition to the clinical and radiographic evaluations, patients with a minimum of one year of follow-up were assessed by means of the Constant, American Shoulder and Elbow Surgeons (ASES), Mayo Clinic and Simple Shoulder Value (SSV) functional scores, and in relation to the degree of satisfaction with the final result. The fixation technique used was by means of an anterograde percutaneous route.

Results: All the patients achieved fracture consolidation, after a mean of 2.9 months (ranging from 2 to 4 months). The mean Constant score was 85.7 (ranging from 54 to 100) and the mean ASES score was 95.9 (ranging from 76 to 100). All the patients achieved the maximum score on the Mayo Clinic scale.

Conclusion: Fixation of humeral diaphysis fractures using Ender nails by means of a percutaneous technique was shown to be a method with promising preliminary results.

No MeSH data available.


Related in: MedlinePlus

Reduction of the fracture and passage of the nail, using an image intensifier.
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fig0015: Reduction of the fracture and passage of the nail, using an image intensifier.

Mentions: The entry point was viewed under fluoroscopy, approximately 2 cm distally to the footprint of the supraspinatus tendon. At this point, a longitudinal incision of around 2 cm was made. An entry orifice in the bone was made using a manual starter (Fig. 1). Two or three Ender nails were inserted (Fig. 2) after reduction of the fracture, performed while viewing using an image intensifier (Fig. 3), and it was sought to diverge the distal extremities of the nails. It was decided to insert three nails when instability was observed at the focus after arm rotation tests during the operation. The size of the nails was chosen by means of preoperative radiographic examinations in AP and lateral views, taking the normal contralateral arm as the standard. At the end of the operation, the positions of the nails were checked by means of radiographic examinations in AP and lateral views.


Preliminary results from osteosynthesis using Ender nails by means of a percutaneous technique, in humeral diaphysis fractures in adults.

Godinho GG, França Fde O, Freitas JM, Santos FM, Correa Gde A, Maia LR - Rev Bras Ortop (2015)

Reduction of the fracture and passage of the nail, using an image intensifier.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4563073&req=5

fig0015: Reduction of the fracture and passage of the nail, using an image intensifier.
Mentions: The entry point was viewed under fluoroscopy, approximately 2 cm distally to the footprint of the supraspinatus tendon. At this point, a longitudinal incision of around 2 cm was made. An entry orifice in the bone was made using a manual starter (Fig. 1). Two or three Ender nails were inserted (Fig. 2) after reduction of the fracture, performed while viewing using an image intensifier (Fig. 3), and it was sought to diverge the distal extremities of the nails. It was decided to insert three nails when instability was observed at the focus after arm rotation tests during the operation. The size of the nails was chosen by means of preoperative radiographic examinations in AP and lateral views, taking the normal contralateral arm as the standard. At the end of the operation, the positions of the nails were checked by means of radiographic examinations in AP and lateral views.

Bottom Line: In addition to the clinical and radiographic evaluations, patients with a minimum of one year of follow-up were assessed by means of the Constant, American Shoulder and Elbow Surgeons (ASES), Mayo Clinic and Simple Shoulder Value (SSV) functional scores, and in relation to the degree of satisfaction with the final result.Fixation of humeral diaphysis fractures using Ender nails by means of a percutaneous technique was shown to be a method with promising preliminary results.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Hospital Ortopédico (HO), Belo Horizonte, MG, Brazil ; Hospital Belo Horizonte (HBH), Belo Horizonte, MG, Brazil ; Hospital Lifecenter (HLC), Belo Horizonte, MG, Brazil.

ABSTRACT

Objective: To demonstrate the clinical and functional results from treatment of humeral diaphysis fractures using Ender nails.

Methods: Eighteen patients who underwent osteosynthesis of humeral diaphysis fractures using Ender nails were evaluated. In addition to the clinical and radiographic evaluations, patients with a minimum of one year of follow-up were assessed by means of the Constant, American Shoulder and Elbow Surgeons (ASES), Mayo Clinic and Simple Shoulder Value (SSV) functional scores, and in relation to the degree of satisfaction with the final result. The fixation technique used was by means of an anterograde percutaneous route.

Results: All the patients achieved fracture consolidation, after a mean of 2.9 months (ranging from 2 to 4 months). The mean Constant score was 85.7 (ranging from 54 to 100) and the mean ASES score was 95.9 (ranging from 76 to 100). All the patients achieved the maximum score on the Mayo Clinic scale.

Conclusion: Fixation of humeral diaphysis fractures using Ender nails by means of a percutaneous technique was shown to be a method with promising preliminary results.

No MeSH data available.


Related in: MedlinePlus