[Treatment of humeral shaft fractures with Russell-Taylor interlocking intramedullar nail].

Hunan Yi Ke Da Xue Xue Bao

Department of Orthopedics, Second Xiangya Hospital, Central South University, Changsha 410011, China.

Published: April 2003

Objective: To evaluate the clinical effects of Russell-Taylor interlocking intramedullar nail (RT nail) on humeral shaft fractures.

Methods: Twenty six patients with humeral shaft fractures were treated with RT nail, of whom 19 cases were treated with antegrade RT nail and 7 cases with retrograde RT nail.

Results: With an average of 16 months (range 6-24 months) of follow-up, all cases acquired bony union with mean union time 4.7 months (range 3-8 months). The recovery of shoulder function was excellent in 18 cases, good in 5 cases, and fair in 3 cases. The recovery of elbow function was excellent in 23 cases and good in 3 cases. One case had shoulder impingement caused by proximal locking screw. All cases had no infection, iatrogenic fracture, and peripheral nerve injury.

Conclusion: RT nail is an effective method for the treatment of humeral shaft fractures.

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