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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2004, Number 4

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Acta Ortop Mex 2004; 18 (4)

Complications with the use of UHN nail for the treatment of humeral shaft fractures using either retrograde or anterograde insertion

Reyes–Saravia GA

Language: Spanish
References: 25
Page: 145-150
PDF size: 160.12 Kb.


ABSTRACT

Objective. Determine the complications with the use of the UHN for the treatment of humeral shaft fractures using either retrograde or anterograde insertion. Material and methods. Type of study descriptional, retrospective and transversal in 22 patients with fracture of the humeral shaft treated with UHN between the period of July 1998 and July 2001. In 9 patients an anterograde insertion was performed and in 13 the retrograde insertion. We asses the complications of both types of insertion also the consolidation rate and functional outcome. Results. We observed a higher rate of complications with the anterograde insertion. Four patients (44.4%) with de antegrade insertion and three patients (23%) with the anterograde type underwent a second surgery for pseudoarthrosis. One patient with injury of the circumflex nerve an another patient with a radial nerve injury using the retrograde approach. There was no difference in terms of functional outcome between the groups. Conclusions. A higher rate of complications were observed with the anterograde approach related to the surgical technique.


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