Plain Radiograph Analysis of the Distal Humerus Posterior Bowing That May Affect Interlocking Intramedullary Nailing for Humerus Shaft Fracture

Introduction: The humerus fractures can present as isolated or associated with other injuries and these fractures can be associated with both primary and secondary iatrogenic or traumatic neurovascular injuries. The timely management of these injuries helps in preventing catastrophic consequences. Case Presentation: Two cases of humerus fractures were presented with brachial artery thrombosis. First case is 56-year-old female with distal humerus fracture and second is 32-year-old female with humerus shaft fracture. Both the patients had feeble pulse at the time of presentation. Urgent CT angiography of the upper limb was performed and vascular surgeon intervention was taken. First case showed complete non opacification of distal brachial artery due to thrombosis, which was managed with bicolumnar plating with embolectomy. The second case of humerus shaft fracture showed non contrast opacification at the fracture, which was managed with intramedullary nailing with removal of the bony fragment impinging on the artery and embolectomy. Postoperatively, both the patients are having good functional and radiological outcome without any complications. Conclusion: Proper early clinical evaluation for vascular deficits helps to prevent the delayed diagnosis and radiological investigations helps to identify the cause and location of the vascular insults. Early surgical intervention in association with vascular surgeons helps in getting better outcome and prevents complications related to vascular injuries. Keywords: Distal humeral fracture, brachial artery thrombosis, humerus shaft fracture, embolectomy.

Download Full-text

COMPARISON OF THE RESULTS OF SURGICAL TREATMENT OF HUMOROUS FRACTURES BY INTRAMEDULLARY NAILING AND PALATE

10.36106/ijar/5914171 ◽

2021 ◽

pp. 44-45

Author(s):

Arvin Najaf ◽

Pooyan Jalalpour ◽

Dorsa Hadavi ◽

Salman Azarsina

Keyword(s):

Surgical Treatment ◽

Hospital Stay ◽

Intramedullary Nailing ◽

Length Of Hospital Stay ◽

Shaft Fracture ◽

Union Formation ◽

Duration Of Surgery ◽

Humerus Shaft Fracture ◽

The Mean ◽

Humerus Shaft

Background: Humerus shaft fracture is one of the most common orthopedic problems, accounting for approximately 5% of all fractures. This study aimed to compare the surgical treatment results of humerus shaft fractures by intramedullary nailing and palate. Methods: This study was performed as a retrospective cohort. Eighty patients were referred to the Madani hospital with humerus shaft fracture, of which 40 patients were treated with either IMN or palate methods. All patients were followed up in outpatient clinics at six weeks and 3 and 6 months. Evaluation of the results was evaluated based on performance improvement, ability to return to previous jobs after six months, time of union formation, rate of union formation, and incidence of complications. Data were analyzed using the SPSS program. Results: The mean amount of blood lost during the operation and the duration of surgery in the IMN group were signicantly lower than the DCP group (P <0.05), but there was no signicant difference between the two groups in terms of length of hospital stay (P> 0.05). On the other hand, the mean of Constant and ASES criteria and the frequency of unions in the two groups were not signicantly different (P> 0.05). Conclusion: The present study results showed that the rate of intraoperative bleeding and duration of surgery in the IMN group was signicantly lower than the DCP group. Still, there was no signicant difference between the two groups in terms of length of hospital stay and functional criteria.

Download Full-text