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KMID : 0386420110240030237
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Journal of the Korean Fracture Society
2011 Volume.24 No. 3 p.237 ~ p.242
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Intramedullary Nailing for Complex Fractures of the Proximal and Midshaft of the Humerus
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Cho Chul-Hyun
Kim Gyo-Wook
Jung Gu-Hee
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Abstract
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Purpose: To evaluate the results of antegrade interlocking intramedullary nailing for complex fractures of the proximal and midshaft of the humerus.
Materials and Methods : We retrospectively analyzed the clinical and radiologic results in 11 cases, which were treated by antegrade interlocking intramedullary nail. We assessed clinical outcomes according to ASES scoring system and radiological result.
Results: All cases had bony union and the mean union period was 14.7 weeks. Postoperative complications were 1 loss of fixation, 2 proximal protrusion of nail and 2 temporary shoulder pain. A case with loss of fixation was treated open reduction and refixation and had union at 14 weeks postoperatively. The mean ASES score was 85.9 and the clinical outcomes were 4 excellent, 5 good, 1 fair and 1 poor.
Conclusion: Intramedullary nailing for complex fractures of the proximal and midshaft of the humerus can offer a reliable treatment option.
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KEYWORD
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Proximal humerus, Shaft, Complex fracture, Intramedullary nailing
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