Abstract
Objective: To evaluate the functional outcome of
intramedullary fixation with titanium elastic nails in
diaphyseal fractures of humerus in adults.
Methodology: This was prospective-observational
study piloted at the department of orthopedic, Pir
Abdul Qadir Jeelani Institute of Medical Sciences,
Gambat, Khairpur, Sindh from August 2020 to August
2021. All patients were managed with closed reduction
and internal fixation with titanium elastic nail. During
follow up, all were evaluated clinically for range of
motion, pain and radiological assessment fracture
union.
Results: In this study, 35 patients were included.
Complete union was observed in 32 (91.43%) patients,
delayed union in 2 (5.71%) while non-union in one
(2.86%) patient. Based on DASH scoring system, no
disability and mild to moderate disability was
observed in 30 (85.71%) and four (11.43%) patients,
respectively. Complications observed were superficial
infections, non-union, delayed union and elbow
stiffness in five (14.29%), one (2.86%), 2 (5.71%) and
two (5.71%), respectively.
Conclusion: In adults, management of diaphyseal
humerus fracture with titanium elastic nail system is
best choice because of minimal invasiveness.Union is
achieved without affecting fracture site biology and
the chance of iatrogenic radial injury of nerve is
reduced.
Keywords: Intramedullary fixation, titanium elastic
nails, diaphyseal fractures, humerus
