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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

Radiographs in anteroposterior and lateral view of the right arm after removal of the nail, with the fracture consolidated.
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fig0025: Radiographs in anteroposterior and lateral view of the right arm after removal of the nail, with the fracture consolidated.

Mentions: Among the 18 cases treated with Ender nails, the nail was removed in 6 cases because upward migration was observed after consolidation (Fig. 5). This represents a reworking rate of 33%, but it should be noted that in half of these cases, the nail was removed as an outpatient procedure, using local anesthetic, after obtaining radiographic confirmation of consolidation, without subsequent complication. The authors of the present study believe that this migration is due to insufficient impaction of the nails in the medullary canal. Burial of the nails is avoided as a way of facilitating their removal if this becomes necessary. In a sample of 21 patients who underwent intramedullary fixation using rigid nails, McCormack et al.11 presented two cases in which removal of the nail was necessary because of the severe impact that the nail had had. In the meta-analysis study by Ouyang et al.,9 a reoperation rate of 16.1% among cases using locked intramedullary nails and 8.5% among cases with plates.


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)

Radiographs in anteroposterior and lateral view of the right arm after removal of the nail, with the fracture consolidated.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

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

fig0025: Radiographs in anteroposterior and lateral view of the right arm after removal of the nail, with the fracture consolidated.
Mentions: Among the 18 cases treated with Ender nails, the nail was removed in 6 cases because upward migration was observed after consolidation (Fig. 5). This represents a reworking rate of 33%, but it should be noted that in half of these cases, the nail was removed as an outpatient procedure, using local anesthetic, after obtaining radiographic confirmation of consolidation, without subsequent complication. The authors of the present study believe that this migration is due to insufficient impaction of the nails in the medullary canal. Burial of the nails is avoided as a way of facilitating their removal if this becomes necessary. In a sample of 21 patients who underwent intramedullary fixation using rigid nails, McCormack et al.11 presented two cases in which removal of the nail was necessary because of the severe impact that the nail had had. In the meta-analysis study by Ouyang et al.,9 a reoperation rate of 16.1% among cases using locked intramedullary nails and 8.5% among cases with plates.

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