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DOI: 10.1055/s-2002-39271
© Georg Thieme Verlag Stuttgart · New York
Reamed Nailing of Humeral Fractures: Long-Term Results in 77 Cases
Publikationsverlauf
Publikationsdatum:
26. Mai 2003 (online)
![](https://www.thieme-connect.de/media/osteotrauma/200204/lookinside/thumbnails/10.1055-s-2002-39271-1.jpg)
Abstract
To evaluate the Telescopic Locking Nail® (TLN®) a retrospective analysis of prospectively gathered data was conducted. A total of 77 humeral fractures was included. There were forty-four females and thirty-three males with a mean age of fifty-five years (15-87 years). In fifty-one patients the nail was introduced in the antegrade way, in twenty-six in the retrograde way. We found a primary healing rate of 96 % after a mean of 18.6 weeks (6-61.6 weeks). After a mean follow-up of thirty-five months (2-86 months) forty-seven patients were re-evaluated concerning their shoulder and elbow function. The mean Neer score was 88 points (45-100 points), the mean Morrey score was 97 points (72- 100 points). In the antegrade group (n=31) the mean Neer score was 86 points (45-100 points) and in the retrograde group (n=16) 91 (60-100 points).
The good healing results together with the good functional outcome suggest that the Telescopic Locking Nail is a suitable implant for the treatment of humeral fractures. The lower Neer score in the antegrade group confirms the impact of antegrade nailing on the shoulder function.
Key words
Humerus - Intramedullary - Function - Fracture treatment - Surgery
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J. P. A. M. Verbruggen, M.D.
Department of Surgery · University Hospital Maastricht
P.O.B. 58 00
6202 AZ-Maastricht · The Netherlands
Telefon: + 31/43/3 87 54 91
Fax: + 31/43/3 87 54 73
eMail: j.verbruggen@surgery.azm.nl