Twelve patients with humeral shaft fractures repaired by intramedullary fixation were evaluated retrospectively
We report on our experience of intramedullary fixation for humeral shaft fractures.
The mean age of patients studied was 49 years (ranging from 19 to 73 years). Mean follow-up period after surgery was 20 months ranging from 9 to 45 months. We used Ender nails in 10 cases and Rush pins in 2 cases. We preferred to use the distal rather than proximal approach, because painful adhesive capsulitis of the shoulder occurred more often with the latter. We also used a functional brace after surgery. Post-operative clinical results were good in all cases, especially in those with the distal approach.
In conclusion, intramedullary fixation using the distal approach for treatment of humeral shaft fractures is useful and allows early mobilization.
