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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2019, Number 1

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Acta Ortop Mex 2019; 33 (1)

Humeral anterograde nailing. Functional results. A 5 years experience

Chávez-Galván CR, Martínez-Pérez R
Full text How to cite this article

Language: Spanish
References: 6
Page: 36-38
PDF size: 174.26 Kb.


Key words:

Intramedular nailing, anterograde approach, humerus.

ABSTRACT

Purpose: The purpose of this study was to investigate the clinical impact on the global function of the shoulder of the use of the anterolateral approach for nailing. Material and methods: A retrospective cohort at the public sector of Centenario Hospital Miguel Hidalgo in Aguascalientes, Mexico between 2011 and 2016 was analysed. Inclusion criteria were: patients with anterolateral humeral nailing approach. Clinical assessment using the Constant-Murley score, shoulder range of motion and quick DASH questionnaire. Results: Seventeen patients, 16 treated for humeral shaft fracture and one for humeral fibrous dyslasia were obtained. Mean score on Constant-Murley scale was 84.05 with 76.4% of patients achieving excellent result (› 75 points). One patient had a poor functional outcome. The mean quickDASH score was 17.5 points. Conclusions: The anterolateral approach for humeral nailing has good functional outcome in our series.


REFERENCES

  1. Rommens PM. Humeral shaft fractures. In: Oestern HJ, et al (eds.). Bone and joint injuries, European Manual of Medicine; Springer-Verlag; 2014.

  2. Knierim AE, Bollinger AJ, Wirth MA, Fehringer EV. Short, locked humeral nailing via Neviaser portal: an anatomic study. J Orthop Trauma. 2013; 27(2): 63-7.

  3. Patino JM. Treatment of humeral shaft fractures using antegrade nailing: functional outcome in the shoulder. J Shoulder Elbow Surg. 2015; 24(8): 1302-6.

  4. Wang C, Dai G, Wang S, Liu Q, Liu W. The function and muscle strength recovery of shoulder after humeral diaphysis fracture following plating and intramedullary nailing. Arch Orthop Trauma Surg. 2013; 133(8): 1089-94.

  5. Dilisio MF, Nowinski RJ, Hatzidakis AM, Fehringer EV. Intramedullary nailing of the proximal humerus: evolution, technique, and results. J Shoulder Elbow Surg. 2016; 25(5): e130-8.

  6. Park MC, Tibone JE, Lee TQ. History, physical examination, radiographic anatomy, and biomechanics and physiological function of the rotator cuff. Oper Tech Sports Med. 2012; 20: 201-6.




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C?MO CITAR (Vancouver)

Acta Ortop Mex. 2019 Ene-Feb;33