Interlocking Nail Stabilisation of Humeral Fractures. Initial Experience in Seven Clinical Cases

I. Durall; M.C. Diaz; I. Morales

doi:10.1055/s-0038-1633035

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

Vet Comp Orthop Traumatol 1994; 07(01): 3-8
DOI: 10.1055/s-0038-1633035

Clinical Report

Schattauer GmbH

Interlocking Nail Stabilisation of Humeral Fractures. Initial Experience in Seven Clinical Cases

I. Durall

¹From the, Facultad de Veterinaria, Universidad Autónoma Barcelona, Universidad Las Palmas G.C., Las Palmas, Spain

,

M.C. Diaz

¹From the, Facultad de Veterinaria, Universidad Autónoma Barcelona, Universidad Las Palmas G.C., Las Palmas, Spain

,

I. Morales

²From the, Barcelona, Spain and the Facultad de Veterinaria, Universidad Las Palmas G.C., Las Palmas, Spain

› Author Affiliations

Abstract

Summary

Seven cases of fracture of the humerus were stabilised by interlocking nailing. In six cases fixation was static, and in one dynamic. Healing of the fractures took place within a maximum of 16 weeks and return of functionality was complete within three weeks, with the exception of one case. The complications were: failure to insert the screws in the nail, partial loosening of a screw, and production of a new fracture at the distal end of the nail in the case with dynamic fixation.

Seven humeral fractures were stabilised by interlocking nailing. Healing of bone took place in six cases.

The complications involved were: failure to insert screws in the nail, loosening of the screws, and production of a fresh fracture at the distal end of the nail.

Keywords

Interlocking nail - humeral fractures - pin

Full Text

References

References
1 Contzen H. Die Entwicklung der Mark-nagelung und des Verriegelungsnagels. Akt Trauma 1987; 17: 250-2.
2 Klemm KW, Borner M. Interlocking nailing of complex fractures of the femur and tibia. Clin Orthop 1986; 212: 89-100.
3 Lindsey RW, Teal P, Probe RA. et al. Early experience with the Gamm a interlocking nail for peritrochanteric fractures of the proximal femur. J Trauma 1991; 31: 1649-58.
4 Zickel RE. An intramedullary fixation device for the proximal part of the femur: Nine years’ experience. J Bone Joint Surg 1976; 58A: 866-72.
5 Henry SL, Werner J, Seligson D. Intramedullary fixation of subtrochanteric fractures with the Williams Y-nail: Report of three cases. J Orthop Trauma 1988; 2: 139-45.
6 Wu CH, Shim CH, Lee Z. Subtrochanteric fractures treated with interlocking nailing. J Trauma 1991; 31: 326-33.
7 Kempf I, Grosse A, Taglang G. et al. L‘enclouage centro-medullaire avec verrouillage de fractures recentes de femur et du tibia. Etude statistique a propos de 835 cas. Chirurgie 1991; 117: 478-87.
8 Wiss DA, Brien WW, Stetson WB. Inter-locked nailing for the treatment of segmental fractures of the femur. J Bone Joint Surg 1990; 72A: 724-8.
9 Wiss DA, Brien WW, Becker V. Interlocked nailing for the treatment of femoral fractures due to gunshot wounds. J Bone Joint Surg 1991; 73A: 598-606.
10 Wu CH, Shih CH. Treatment of femoral supracondylar unstable comminuted fractures. Arch Orthop Trauma Surg 1992; 111: 232-6.
11 Leung KS, Shen WY, So WS. et al. Inter-locking intramedullary nailing for supracondylar and intercondylar fractures of the distal part of the femur. J Bone Joint Surg 1991; 73A: 332-40.
12 Boxma H, Pamlplatz PUM, Broekhvizen H. The Brooker-Wills interlocking nail in the treatment of femoral fractures. Neth J Surg 1990; 42 3: 78-82.
13 Elegem P. Le double enclouage elastique verrouille pour les fractures intertrochanteriennes et quelques indications diaphysaires. Acta Orthop Belg 1989; 55: 295-305.
14 Seiler JG III, Swiontkowski ME. A prospective evaluation of the AO/ASIF universal femoral nail in the treatment of traumatic and reconstructive problems in the femur. J Trauma 1991; 31: 121-6.
15 Taylor JCH. Fractures of the lower extremity. In: Campbell’s Operative Orthopaedics. Crenshaw AH. (ed). St. Louis: CU Mosby; 1992: 785-894.
16 Huckstep RL. The Huckstep intramedullary compression nail. Indications, technique and results. Clin Orthop 1986; 212: 48-61.
17 Klemm KW. Treatment of infected pseudoarthrosis of the femur and tibia with an interlocking nail. Clin Orthop 1986; 212: 174-81.
18 Kempf I, Grosse A, Rigaut P. The treat-ment of noninfected pseudoarthrosis of the femur and tibia with interlocking nailing. Clin Orthop 1986; 212: 142-54.
19 Huckstep RL. Stabilization and prosthetic replacement in difficult fractures and bone tumors. Clin Orthop 1987; 224: 12-25.
20 Huckstep RL. The Huckstep interlocking nail for difficult humeral, forearm and tibial fractures and for arthrodesis. Tech Orthop 1988; 3: 77-87.
21 Jensen CH, Hansen D, Jorgensen U. Humeral shaft fractures treated by interlocking nailing: a preliminary report on 16 patients. Injury 1992; 23: 234-6.
22 Johnson KA, Huckstep RL. Bone remodelling in canine femora after internal fixation with the “Huckstep Nail". Vet Radiol 1986; 27: 20.
23 Georgiadis GM, Minster GJ, Moed BR. Effects of dynamisation after interlocking tibial nailing: an experimental study in dogs. J Orthop Trauma 1990; 4: 323-30.
24 Dueland RT, Berglund L, Schults F, Chao EYS. Preliminary results: Biomechanical analysis of canine femora, solid intramedullary pins and interlocking medullary pins. Proc Am Coll Vet Surg 1991 pp 15.
25 Church EM, Schrader SC. Use of flexible intramedullary rods for fixation of femoral fractures in eight dogs. J Am Vet Med Assoc 1990; 196: 71-6.
26 Durall I, Diaz MC, Morales I. An experimental study of compression of femoral fractures by an interlocking intramedullary pin. VCOT 1993; 6: 93-9.
27 Huckstep RL. Personal communication 1983
28 Vannozzi I, Carlucci F, Nesti S. II chiodo bloccato de Grosse-Kempf nelle fratture diafisarie de femore nei piccoli animali: prime experienze cliniche. Boll AIVPA 1991; 3: 53-60.
29 Miur P, Parker RB, Goldsmid SE, Johnson KA. Interlocking intramedullary nailing stabilisation of a diaphyseal tibial fracture. J Small Anim Pract 1993; 34: 26-30.
30 Levin PE, Schoen Jr RW, Browner BD. Radiation exposure to the surgeon during closed interlocking intramedullary nailing. J Bone Joint Surg 1987; 69A: 761-5.
31 Reynders P, Schonken P, Hoggmartens M. Interlocking nail: A practical aiming device for distal screw insertion. Act Orthop Bel 1990; 56: 605-8.
32 Goulet JA, Lowdy F, Saltzman CH, Mattews LS. Interlocking intramedullary nails. An improved method of screw place-ment combining image intensification and laser light. Clin Orthop 1992; 281: 199-203.
33 Bucholz RW, Ross SE, Lawrence KL. Fatigue fracture of the interlocking nail in the treatment of fractures of the distal part of the femoral shaft. J Bone Joint Surg 1987; 69A: 1391-9.
34 Wu CH. Biomechanical analysis of the mechanism of interlocking nail failure. Arch Orthop Trauma Surg 1992; 111: 268-72.
35 Denny HR. Pectoral limb fractures. In: Canine Orthopedics. Whittick WG. (ed). Philadelphia: Lea & Febiger; 1990: 357-86.
36 Klause SE, Schwarz PD, Egger EL, Pier-mattei DL. A modification of the unilateral type I external skeletal fixator configuration for primary and secondary support of supracondylar humeral and femoral fractures. VCOT 1990; 3: 130-4.
37 Wu CH, Shih CH. Treatment for nonunion of the shaft of the humerus: comparison of plates and Seidel interlocking nails. CJS 1992; 35: 661-5.
38 Browner BD. Pitfalls, errors and complications in the use of interlocking Kiintscher nails. Clin Orthop 1986; 212: 192-208.
39 Kaltenecker G, Wruhs O, Quaicoe S. Lower infection rate after interlocking nailing in open fractures of femur and tibia. J Trauma 1990; 30: 474-9.
40 Thoresen BO, Alho A, Ekeland A. et al. Interlocking intramedullary nailing in femoral shaft fractures. J Bone Joint Surg 1985; 67A: 1313-20.