Functional outcome of intramedullary fixation with titanium elastic nails in diaphyseal fractures of humerus in adults operated at Gambat hospital, Pakistan

Sajjad Hussain Bhatti; Muhammad Kashif Abbasi; Agha Syed Ali Haider Naqvi; Syeda Zuha Naqvi; Syeda Sheza Naqvi; Amna Aziz Khan

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.

Key words: Intramedullary fixation, titanium elastic nails, diaphyseal fractures, humerus.

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