Clinical analysis of treatment of nonunion of humeral shaft fracture with bidentate intramedullary interlocking nails
- VernacularTitle:分叉交锁髓内钉治疗肱骨干骨折不愈合的疗效分析
- Author:
Yongzhuang DUAN
;
Xiaolei ZHU
;
Zengtao WANG
- Publication Type:Journal Article
- Keywords:
Bidentate intramedullary locking nails;
Fracture of humeral shaft;
Nonunion;
Internal fixation;
Bone graft
- From:
Orthopedic Journal of China
2006;0(14):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To observe the effect of the nonunion of humeral shaft fracture treated by bidentate intramedullary locking nails.[Method]Twenty-five cases of fracture nonunion of humeral shaft were cured by bidentate intramedullary locking nails from January 2000 to November 2004.and they received operations to remove their previous instruments.After the bidentate intramedullary nails was inserted via antegrade approach,and autogenous cancellous bone was grafted.[Result]Twenty of the 25 cases were available for follow up.The follow up lasted 10 to 26 months.All cases achieved solid union within 4 to 10 months.There were no complication such as incision infection or occurring of osteomyelitis.[Conclusion]Bidentate intramedullary locking nails can provide the effective control of harmful shearstress,it can provide firm internal fixation,And this methods is an ideal method for treatment of humeral shaft fracture nonunion.