Comparison of Antegrade & Retrograde Nailing In Treatment of Diaphyseal Fractures In Humerus In Rural Population

Abstract

Fractures of the humeral shaft account for about 1-3% of all fractures. Conventionally these fractures are treated by conservative methods, which leads to union at the fracture site but patients  have to live with the sequalae of stiff joint and functional disability. Considering these factors we decided to undertake a study to compare the outcome of antegrade & retrograde technique of nailing in fracture shaft humerus in rural population. Study was conducted at department of Orthopaedics, during May 2011 to May 2014. 20 patients with diaphyseal fractures of humerus were treated with interlocking nail by antegrade & retrograde technique. Inclusion criteria: all male & female patients above the age of 20years, fir for surgery. All closed fractures & compound Grade 1 & 2 fractures (transverse, oblique, spiral). Failed conservative methods. Segmental fractures. Observations & Results: time taken for antegrade nailing was  75 minutes & for retrograde nailing was 100 minutes. In antegrade group ROM of shoulder was assessed at the end of 12weeks. 7-10 patients had 120 to 150 degree abduction, 100 -120 degree of flexion, 30-50 degree extension with normal rotations. Conclusion: when indicated internal fixation of fractures of the shaft of humerus with interlocked intramedullary nail gives good results. With proper patient selection antegrade & retrograde nailing have similar treatment results.