Author(s): SUN Jin-ke, WANG Ying-zhen, LIU Xiao-jing, Department of Joint Surgery, the Affiliated Hospital of Qingdao University Medical College
Pages: 688-690
Year: 2014 Issue:  7
Journal: Chinese Journal of Bone and Joint Injury
Keyword:  Humeral fractures; Titanium elastic nails; Closed reduction; Internal fixation;
Abstract: Objective To explore the feasibility and the clinical outcome of intramedullary osteosynthesis of displaced proximal humeral fractures with titanium elastic nails. Methods From June 2009 to December 2012, 42 patients with displaced fractures of proximal humerus were treated with intramedullary osteosynthesis by titanium elastic nails and retrospective analyzed. Results All patients were followed-up with the mean time of 17.2 months(range 10-30 months). The mean operating time was 28 min(range 20-60 min), and the mean blood losses were 45 ml(range 20-100 ml). All fractures were healed with an average of 8.8 weeks(range 6-12 weeks). At last follow-up, the mean VAS score was 0.7 points(range 0-4points). The mean absolute Constant-Murley score was 86.7 points(range 68-100 points) with excellent in 17 cases, good in20, fair in 4 and bad in 1, and the excellent and the good rate was 88.1%. There were no vessel and nerve deficits, infection,nonunion and avascular necrosis of the humeral head. Conclusion Intramedullary osteosynthesis of proximal humeral fractures with titanium elastic nails can lead to good clinical outcome with minimal invasion and less complications.