International Journal of Integrative Medical Sciences

152-156

Authors: Prasanth Ganji *, PR Naidu Pothula, Nandam Ramarao, Raj Kumar Vijay, Bharath chandra katragadda, Yeseswi Tellakula.

Back ground: Humerus fractures are one the most common fractures in orthopaedic practice. Apart from conservatives methods surgery is the mainstay in method of treatment of humerus fractures. Among the surgical options antigrage nailing, retrograde nailing, plating are the options. Present study was done to analyze the clinical outcomes of antigrade nailing in diaphyseal fractures of humerus. Materials and Methods: 12 cases were treated with antigrade interlocking nailing among the 12 cases (11 cases were closed and 1 grade 1 compound) 9 were fresh cases and two were presented after one week of injury. of the 12 cases 8 middle 1/3,3 were middle1/3and distal 1/3 junction and one is segmental fracture. Cases were fallowed for up to three years. Results: Excellent results were seen in 8 good in 3 where 1 case went to delayed union. Conclusion: Antigrde humerus nailing is a effective method of diphyseal fractures of humerus. It has advantageous over compression plating as it is less invasive, no blood loss, and no risk of iatrogenic radial nerve palsy. Shoulder stiffness can prevented by meticulous repair of rotator cuff, avoiding protrusion of nail and early institution of physiotherapy. KEY WORDS: Humerus fracture, Antigrade Nailing, Retorgrade Nailing, Plating, Diaphyseal fracture, Internal fixation.