TY - JOUR AU - Gupta, Pradip Kumar AU - Chaudhary, Ajay PY - 2020/06/26 Y2 - 2024/03/28 TI - Functional Evaluation of Fracture Shaft of Humerus Treated By Antegrade Closed Interlocking Nail JF - Birat Journal of Health Sciences JA - Birat J. Health Sci. VL - 5 IS - 1 SE - Original Research Articles DO - 10.3126/bjhs.v5i1.29629 UR - https://www.nepjol.info/index.php/bjhs/article/view/29629 SP - 938-941 AB - <p><strong>Introduction: </strong>Management of fractures shaft of humerus is always a challenging problem to deal with as they are very frequently associated with complex multiple injuries. Interlocking nails have gained popularity now a days for stabilization of humeral shaft fractures due to load sharing nature of implant, preservation of fracture hematoma, minimal exposures and rigid fixation with early mobilization.</p><p><strong>Objective: </strong>The objective of the study was to assess the outcome of the fracture shaft of humerus stabilized with interlocking nail.</p><p><strong>Methodology: </strong>A Prospective clinical study was done on fifty patients of fractures shaft of humerus stabilized using antegrade interlocking nail.</p><p><strong>Results: </strong>The most common causes of fractures shaft of humerus was road traffic accident (66%). The average union time was 12.7± 1.3 weeks. About 8% had delayed union and 10% had non-union which were treated with bone graft. There was no deep infection but two (4%)had superficial infection in open Gustilo grade II fracture. Four cases (8%) had radial nerve injury, mostly neuropraxias, which recovered in three months. There were 12 cases of significant restriction of shoulder movements which was resolved in six weeks after guarded physiotherapy.</p><p><strong>Conclusion: </strong>Closed interlocking nailing is a least invasive surgical option available to manage complex humeral shaft fractures.</p> ER -