[The AO/ASIF Flexnail : A flexible intramedullary nail for the treatment of humeral shaft fractures]

Müller, C A; Henle, P; Konrad, G; Szarzynski, M; Strohm, P C; Südkamp, N P (2007). [The AO/ASIF Flexnail : A flexible intramedullary nail for the treatment of humeral shaft fractures]. Unfallchirurg, 110(3), pp. 219-25. Heidelberg: Springer-Medizin-Verlag 10.1007/s00113-006-1208-0

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BACKGROUND: The use of conventional implants for intramedullary nailing of humeral shaft fractures is associated with specific difficulties. During antegrade implantation structures of the rotator cuff can be affected leading to a reduced functional result of the shoulder. If the nail is implanted in a retrograde manner problems arise due to a relatively large hole close to or within the olecranon fossa, which is necessary for insertion of the nail. Supracondylar fractures as well as persistent elbow pain and loss of function are reported in the literature. To overcome these disadvantages a flexible nail has been developed that can be stiffened and locked after implantation. METHOD: Between October 2000 and February 2002, 34 patients were treated with the flexible nail at our institution; 29 were available for follow-up. Fracture healing was documented on radiographs and clinical outcome was evaluated with use of the Constant as well as the Kwasny score. RESULTS: Median duration until fracture consolidation was 10 weeks. In two patients fracture union was not achieved within the follow-up period. The median outcome measured with the Constant score was 93 points and 2.5 with the Kwasny score. Both values correspond to a very good functional outcome. CONCLUSION: We conclude that the flexible humeral nail is an excellent treatment option for humeral shaft fractures. Damage to the rotator cuff and the distal humerus can be avoided due to its unique flexible construction, improving the functional outcome of intramedullary nailing for the treatment of humeral shaft fractures.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Henle, Philipp

ISSN:

0177-5537

ISBN:

17123041

Publisher:

Springer-Medizin-Verlag

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:57

Last Modified:

05 Dec 2022 14:17

Publisher DOI:

10.1007/s00113-006-1208-0

PubMed ID:

17123041

Web of Science ID:

000245268600004

BORIS DOI:

10.48350/24455

URI:

https://boris.unibe.ch/id/eprint/24455 (FactScience: 50749)

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