The effectiveness of intramedullary nailing in humeral diaphysis fractures and non-unions

Purpose:The analysis of treatment results of humeral non-unions with intramedullary nailing (IMN) according to primary treatment is not argued convincingly in literature. Materials and methods: The results of 39 patients who treated with intramedullary nailing for humerus diaphysis fracture or non-union analysed in this study. An antegrade IMN technique was used with an interlocking intramedullary nail (Russell-Taylor type) in all cases. Twenty-six of these patients had primary IMN, seven had revision for failed plating and six had exchange IMN. Results:The non-union rate was 15% in primary IMN, 29% in the revision for failed plating and 83% in exchange IMN groups. The average time to union were found as 14 weeks in the primary IMN and 20 weeks in the revision for failed plating. Even though revision for failed plating had similar healing rate with primary IMN (p>0.05), the healing time significantly increased. (p

Humerus cisim kırık ve kaynamamalarında intramedüller çivilemenin etkinliği

Amaç:İntramedüller çivi sonrasında gelişen humerus kaynamamaları üzerine yapılmış daha önceki çalışmalar, ilk tedavi yöntemine göre sonuçların karşılaştırılmasını yeterince tartışmamaktadır. Gereç ve yöntem: Bu çalışmada humerus cisim kırığı tanısı ya da kaynamaması nedeniyle IMN uygulanmış 39 hastanın sonuçları retrospektif olarak analiz edilmiştir. Çalışma hastalarının tamamında (Russell-Taylor tipi) antegrat intramedüller çivi kullanılmıştır. Bu hastaların 26’sı primer vaka olup, yedisinde öncesinde başarısız plaklama mevcuttu. Altı vakaya çivi değiştirme uygulanmıştı. Bulgular: Primer çivilemede %15, başarısız plaklama revizyonunda %29 ve çivi değiştirmede ise %83 oranında kaynamama mevcuttu. Ortalama kaynama süresi primer çivilemede 14 hafta, başarısız plaklama revizyonunda ise 20 hafta idi. Başarısız plaklama revizyonu, primer çivileme ile benzer kaynama oranlarına sahip olmakla beraber (p>0.05), kaynama süresi anlamlı şekilde artmıştı (p

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