title: Retrograde Ender nailing for humerus shaft fractures.
abstract: Humerus fractures are common; their management remains controversial. Infection, neurovascular injury, joint problems and non-union are recognised complications of surgical treatment. These complications can be decreased by opting for a surgical treatment that is less invasive and safe. We present a series of 59 patients treated with retrograde Ender nailing; 56 healed in an average of 9.1 weeks, 2 had delayed union (> 15 weeks) and one went on to non-union, which healed after secondary plate fixation. Nail back out occurred in 8 cases, of which only 3 required nails repositioning. The mean Constant score at final follow-up (mean 19 months) was 91; it was significantly lower in patients over 50 years of age and in those with segmental fractures. In this series, Ender retrograde nailing gave overall satisfactory results and appeared as a safe and efficient technique.
authors.affiliation: Goverment Medical College and SSG Hospital, Baroda, Gujarat, India. ashish.khurana@doctors.org.uk
authors.forename: Ashish
authors.initials: A
authors.lastname: Khurana
authors.forename: Anirudha
authors.initials: A
authors.lastname: Pendse
authors.forename: Hitesh
authors.initials: H
authors.lastname: Modi
authors.forename: Sanket
authors.initials: S
authors.lastname: Diwanji
authors.forename: Hemant
authors.initials: H
authors.lastname: Mathur
authors.forename: Rajiv
authors.initials: R
authors.lastname: Daveshwar
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001858:Bone Nails; D004867:Equipment Design; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D005597:Fractures, Open / Q000601:surgery; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome; D055815:Young Adult