Late Functional Results of Humeral Fractures Treated with the Telescopic Locking Nail®

In the treatment of humeral fractures, the standard therapy still is non-operative. However there are generally accepted indications for operative treatment of humeral shaft fractures: polytrauma, open fractures, neurovascular lesions, bilateral humeral fractures, floating elbow, inability to maintain reduction. These indications constitute a negative sample of the humeral fractures and are so called problem fractures. In order to treat these, a stable implant is mandatory. The Telescopic Locking Nail® is developed for this kind of fractures. It's a straight nail with a central diameter of 7.6 mm and at both ends a diameter of 9 mm to allow strong locking bolts of 4.6 mm to increase stability.