[Retrograde intramedullary nailing for humeral shaft fractures in adults. Evaluation of anatomical and functional results in 63 cases].
OBJECTIVE
Many methods have been proposed for treatment of displaced humeral shaft fractures in adults. This study was designed to evaluate the anatomical and functional results of patients treated by retrograde intramedullary nailing through the lateral condyle.


METHODS
Sixty-three fresh traumatic fractures of the humerus were treated between January 2000 and January 2003. Five patients were lost to follow-up. The AO classification and the Hackethal classification modified by De La Caffinière were used. Outcome was assessed according to the modified Stewart and Hundey classification.


RESULTS
We had 23 very good results, 26 good results, five passable results and four bad results. The bad results were three cases of non-union and one case with poor function (stiffness of elbow and shoulder). Mean delay to union was ten weeks four days. There were no cases of iatrogenic radial nerve palsy or pin migration.


CONCLUSIONS
Retrograde intramedullary nailing is a reliable method, easy to perform and of low economic cost. We propose it for all types of displaced shaft humeral fractures.
Diémé
C B
CB
Service de chirurgie orthopédique et traumatologie, hôpital Aristide-Le-Dantec, Dakar, Sénégal.
Abalo
A
A
Sané
A D
AD
Fall
D
D
Dakouré
P W
PW
Ndiaye
A
A
Seye
S I L
SI
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000379:methods*; D017102:Fracture Healing; D005599:Fractures, Ununited / Q000209:etiology; D006801:Humans; D006810:Humeral Fractures / Q000145:classification / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016059:Range of Motion, Articular / Q000502:physiology; D016896:Treatment Outcome