%0 Journal Article %A Corradi, Nicola %A Caruso, Gaetano %A Martini, Ilaria %A Massari, Leo %D 2019 %I Begell House %K nonunion, intramedullary nailing, humeral shaft fracture, bundle nail, nails rupture %N 1 %P 11-17 %R 10.1615/JLongTermEffMedImplants.2019030530 %T Rupture of an Intramedullary Elastic Bundle Nail Following Humeral Shaft Nonunion: A Case Report %U https://www.dl.begellhouse.com/journals/1bef42082d7a0fdf,09743b8d4a5ed3b0,34e7bcc9442ec1fe.html %V 29 %X A 77-year-old woman reported a spiral right humeral shaft fracture, which was treated by closed reduction and fixation with elastic bundle retrograde intramedullary nail. Despite a proper closed reduction and a minimally invasive surgery obtained, nonunion arose. The patient refused the advised second surgical treatment. At 12 months, the patient was admitted to our department as a consequence of persistent pain and unnatural humeral shaft mobility. New X-ray imaging highlighted intramedullary nail rupture due to excessive implant mobility at the nonunion site. Consequently, nail removal was performed, and plate and screws were then fixed, and a bone allograft was placed to allow fracture healing and proper stabilization. The literature reports optimal outcomes with elastic bundle intramedullary nailing. It is strongly suggested to obtain a closed reduction and minimally invasive dynamic fixation. Nonetheless, it may lead to several complications such as nonunion, for which surgical treatment is technically demanding and highly invasive. %8 2019-04-03