Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Shoulder Function after antegrade intramedullary interlocking nailing for humeral shaft fracture

상완골 간부 골절에 대한 선행성 교합 골수강내 금속정 고정술 후 견관절 기능

  • Park, Jin-Young (Department of orthopedic Surgery, Dankook University College of Medicine) ;
  • Chun, Ji-Yong (Department of orthopedic Surgery, Dankook University College of Medicine) ;
  • Kim, Myung-Ho (Department of orthopedic Surgery, Dankook University College of Medicine)
  • 박진영 (단국대학교 의과대학 정형외과학교실) ;
  • 전지용 (단국대학교 의과대학 정형외과학교실) ;
  • 김명호 (단국대학교 의과대학 정형외과학교실)
  • Published : 2003.06.01
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Abstract

Antegrade interlocking intramedullary nailing (AIIN) for the humeral shaft fracture can induce shoulder pain and decrease of shoulder function postoperatively. The purpose of this study was to estimate the outcome of the shoulder functions after AIIN through the rotator interval between the subscapularis and the supraspinatus to decrease the shoulder pain. Out of consecutive 43 cases that underwent AIIN 42 had been followed for two years or more. Among them we analysized 40 cases of 39 Patients excluding two cases of Pathologic fractures. The average was 47 years. There were 17 men and 23 women. The average follow-up was 34 months. Open nailing was performed in 26 fractures and closed nailing in 14. Bone graft was done in 7 fractures with open nailing. With a single operation, all but two patients achieved osseous union. Average pain score with visual analog scale was one (range; 0∼4) postoperatively By the Neer's score 37 patients received a excellent or satisfactory results while 3 patients' unsatisfactory or failed results. By the functional score of ASES (American Shoulder and Elbow Society) 6 cases received the fair or poor results. Except three cases with persistent nerve palsy and one case of technique failure with protruded nail over humeral head, all patients could achieved satisfactory results with Neer's score and 35 cases (94%) satisfactory results with functional score of ASES. An insertion of antegrade nail to the rotator interval was recommended for better shoulder functions and less pain postoperatively.

Keywords

References

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