title: Results of non-union of humerus treated with retrograde humeral nail.
abstract: Treating non-union of humerus fracture is a surgical challenge with variable outcome. We report series of 51 adult patients of aseptic non-union of humerus from 1998 to 2010 treated retrograde humeral nail. The mean age of patient was 54 years with 33 females and 18 males. The mean duration of non-union was 8 months. In 48 out of 51 cases (94 %), union was achieved at mean duration of 10.1 months. Thirty-two out of 51 patients needed bone grafting. Three patients had post-operative radial nerve neuropraxia which fully recovered. At last visit, mean Constant score for shoulder was 83 and mean Mayo score for elbow 78. Our series with this implant shows excellent union rates for extra articular humeral non-unions in adults.
authors.affiliation: Calderdale and Huddersfield NHS Foundation Trust, Huddersfield Royal Infirmary, Acre Street, Lindley, Huddersfield, West Yorkshire, HD3 3EA, UK, hineshbhatt@gmail.com.
authors.forename: Hinesh
authors.initials: H
authors.lastname: Bhatt
authors.forename: Bobin
authors.initials: B
authors.lastname: Varghese
authors.forename: Hannah
authors.initials: H
authors.lastname: Phillips
authors.forename: Rohit
authors.initials: R
authors.lastname: Rambani
authors.forename: Subhash
authors.initials: S
authors.lastname: Halder
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D016025:Bone Transplantation / Q000706:statistics & numerical data; D015331:Cohort Studies; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D020425:Radial Neuropathy / Q000209:etiology; D012086:Reoperation; D016896:Treatment Outcome; D055815:Young Adult