Result of Interlocking Intramedullary Nailing for Humeral Shaft Fracture Evaluation of Post-operative Shoulder Function.
10.12671/jkfs.2007.20.2.166
- Author:
Seung Rim PARK
1
;
Tong Joo LEE
;
Ryuh Sub KIM
;
Kyoung Ho MOON
;
Dong Seok YOU
Author Information
1. Department of Orthopedic Surgery, Inha University College of Medicine, Incheon, Korea. TJLEE@inha.ac.kr
- Publication Type:Original Article
- Keywords:
Humeral shaft;
Interlocking intramedullary nailing;
Shoulder joint function
- MeSH:
Elbow;
Fracture Fixation, Intramedullary*;
Humans;
Paralysis;
Radial Nerve;
Shoulder Joint;
Shoulder*
- From:Journal of the Korean Fracture Society
2007;20(2):166-171
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the post-operative functional reduction of the shoulder joint and the impacting factors to post-operative shoulder joint function in interlocking IM nailing treatment of humeral shaft fracture. MATERIALS AND METHODS: From April 1999 to August 2004, 35 patients (35 cases) whom admitted to hospital for humeral shaft fracture and treated using interlocking intramedullary nail were followed up for more than 1 year. 1 year post-operative shoulder joint function were evaluated using American Shoulder Elbow Surgery Scale (ASES). Pre-operative shoulder joint pain, radiologically degenerative change and extent of nail protrusion were evaluated, and each factor was correlated with function of the shoulder joint. RESULTS: 33 cases out of 35 cases showed union and average union period was 12 weeks. Complications consisted of 2 cases of nonunion, 1 case of infection, 1 case of loosening of distal fixing screw, 1 case of radial nerve palsy and 1 case of axillary nerve palsy. Shoulder joint function 3 months after operation : mean ASES score 78.2, 12 months after operation : mean ASES score 89.6. Pre-operative shoulder joint pain and nail protrusion showed to be statistically related to shoulder joint function. CONCLUSION: If the operation leaves no protrusion of intramedullary nail, it can be concluded to be relatively safe and effective.
