Reamed Nailing of Humeral Fractures: Long-Term Results in 77 Cases

Abstract

To evaluate the Telescopic Locking Nail® (TLN®) a retrospective analysis of prospectively gathered data was conducted. A total of 77 humeral fractures was included. There were forty-four females and thirty-three males with a mean age of fifty-five years (15-87 years). In fifty-one patients the nail was introduced in the antegrade way, in twenty-six in the retrograde way. We found a primary healing rate of 96 % after a mean of 18.6 weeks (6-61.6 weeks). After a mean follow-up of thirty-five months (2-86 months) forty-seven patients were re-evaluated concerning their shoulder and elbow function. The mean Neer score was 88 points (45-100 points), the mean Morrey score was 97 points (72- 100 points). In the antegrade group (n=31) the mean Neer score was 86 points (45-100 points) and in the retrograde group (n=16) 91 (60-100 points).

The good healing results together with the good functional outcome suggest that the Telescopic Locking Nail is a suitable implant for the treatment of humeral fractures. The lower Neer score in the antegrade group confirms the impact of antegrade nailing on the shoulder function.

Humerus - Intramedullary - Function - Fracture treatment - Surgery

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