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TRAUMATOLOGY
Year : 2006  |  Volume : 40  |  Issue : 3  |  Page : 183-184

Retrograde interlocking nailing in diaphyseal fractures of humerus


Department of Orthopaedics, SN Medical College, Agra, India

Correspondence Address:
R K Goyal
51, Gajanan Nagar, Kothi Meena Bazar, Shahganj, AGRA-282 010
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.34489

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Background : Retrograde interlocking nailing for humeral fracture is technically difficult but has advantage of sparing the involvement of rotator cuff and subacromial bursa. Methods : A total number of 12 cases (9 closed, 3 compound - Grade I and II), having diaphyseal fractures of upper (3 cases) and middle third (9 cases ) of humures were treated by retrograde interlocking nailing. Out of 12 cases, 11 were fresh and 1 was old fractures. Cases were followed up for 3 year. Results : Excellent results were seen in 8, good in 3 and fair in one case ( delayed union). One case developed elbow stiffness, whereas none developed shoulder stiffness. Conclusions : Apart from the overall advantages of conventional locked nailing technique, retrograde locked nailing has additional advantage of sparing the rotator cuff and subacromial bursa, thus prerserving the shoulder functions.


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