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Antegrade Rush nailing for fractures of humeral shaft- an analysis of 200 cases with an average follow up of 1 year

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Author(s): Gadegone W | Salphale Yogesh

Journal: Indian Journal of Orthopaedics
ISSN 0019-5413

Volume: 40;
Issue: 3;
Start page: 180;
Date: 2006;
Original page

Keywords: Osteosynthesis; fractures of the Humeral shaft; Rush nails.

ABSTRACT
Background : The incidence of humeral fracture has significantly increased during the recent times due to the rising age of the population and the number of automobile accidents. In order to achieve a stable fixation and early mobilization, numerous surgical implants have been devised. Method : We carried out a prospective analysis of the data of 200 consecutive patients who had closed fractures of the humeral shaft treated with ante-grade closed Rush nails at our institute. Patients with preoperative radial nerve injury were excluded from this study. In 186 patients we achieved close to anatomic reduction of the fracture fragments. In 14 patients we had to resort to limited open reduction. Results : Fracture united in 186 of 188 patient followed up for one year. Complications occurred in 26 patients. We strongly advise a careful surgical technique and modification as per the individual fracture pattern to reduce the complications. Conclusion : Osteosynthesis with multiple Rush nails features the advantages of rotational stability of the head-neck fragment to the diaphysis, an unreamed implantation technique without any special instruments, the speed of execution and minimal economic burden so important for the developing country like ours.
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