ライブラリ登録: Guest
Journal of Long-Term Effects of Medical Implants

年間 4 号発行

ISSN 印刷: 1050-6934

ISSN オンライン: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

Indexed in

Rupture of an Intramedullary Elastic Bundle Nail Following Humeral Shaft Nonunion: A Case Report

巻 29, 発行 1, 2019, pp. 11-17
DOI: 10.1615/JLongTermEffMedImplants.2019030530
Get accessGet access

要約

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.

参考
  1. Graves M, Nork SE. , Fractures of the humerus, orthopaedic knowledge update. Trauma. 2010;4:201–24.

  2. Babhulkar S, Babhulkar S, Vasudev A. , Recalcitrant aseptic atrophic non-union of the shaft of the humerus after failure of surgical treatment: management by excision of non-union, bone grafting and stabilization by LCP in different modes. Injury. 2017 Aug;48(Suppl 2):S33–S43.

  3. Pidhorz L. , Acute and chronic humeral shaft fractures in adults. Orthop Traumatol Surg Res. 2015 Feb;101(1 Suppl):S41–S49.

  4. Ding L, He Z, Xiao H, Chai L, Xue F. , Factors affecting the incidence of aseptic nonunion after surgical fixation of humeral diaphyseal fracture. J Orthop Sci. 2014 Nov;19(6):973–77.

  5. Marinelli A, Antonioli D, Guerra E, Bettelli G, Zaccarelli L, Rotini R. , Humeral shaft aseptic nonunion: treatment with opposite cortical allograft struts. Chir Organi Mov. 2009 Apr;93(Suppl 1):S21–S28.

  6. Rupp M, Biehl C, Budak M, Thormann U, Heiss C, Alt V. Diaphyseal long bone nonunions–types, aetiology, economics, and treatment recommendations. Int Orthop. 2018 Feb;42(2):247–58.

  7. Cadet ER, Yin B, Schulz B, Ahmad CS, Rosenwasser MP. , Proximal humerus and humeral shaft nonunions. J Am Acad Orthop Surg. 2013 Sep;21(9):538–47. doi: 10.5435/JAAOS-21-09-538. Review. Erratum in: J Am Acad Orthop Surg. 2013 Nov;21(11):21a.

  8. Hornicek FJ, Zych GA, Hutson JJ, Malinin TI. , Salvage of humeral nonunions with onlay bone plate allograft augmentation. Clin Orthop Relat Res. 2001 May;(386):203–9.

  9. Sarmiento A, Kinman PB, Galvin EG, Schmitt RH, Phillips JG. , Functional bracing of fractures of the shaft of the humerus. J Bone Joint Surg Am. 1977 Jul;59(5):596–601.

  10. Maresca A, Sangiovanni P, Cerbasi S, Politano R, Fantasia R, Commessatti M, Pascarella R., Why a surgically treated humeral shaft fracture became a nonunion: review of 11 years in two trauma centers. Musculoskelet Surg. 2017 Dec;101(Suppl 2):105–12.

  11. Metsemakers WJ, Wijnen V, Sermon A, Vanderschot P, Nijs S. , Intramedullary nailing of humeral shaft fractures: failure analysis of a single centre series. Arch Orthop Trauma Surg. 2015 Oct;135(10):1391–99.

  12. Marchetti PG, Vicenzi G, Impallomeni C, Landi S, Surdo V. , The use of elastic nails for intramedullary fixation of humeral fractures and nonunions. Orthopedics. 2000 Apr;23(4):343–47.

  13. Ruffilli A, Traina F, Pilla F, Fenga D, Faldini C. Marchetti Vicenzi elastic retrograde nail in the treatment of humeral shaft fractures: review of the current literature. Musculoskelet Surg. 2015 Dec;99(3):201–9.

  14. Smith MG, Hashmi R, Elsworth CF. , Fracture of an elastic humeral nail. A case report. Acta Orthop Belg. 2003 Apr;69(2):204–5.

  15. Campochiaro G, Baudi P, Gialdini M, Corradini A, Duca V, Rebuzzi M, Catani F. , Humeral shaft non-union after intramedullary nailing. Musculoskelet Surg. 2017 Aug;101(2):189–93.

  16. Van Houwelingen AP, McKee MD. , Treatment of osteopenic humeral shaft nonunion with compression plating, humeral cortical allograft struts, and bone grafting. J Orthop Trauma. 2005 Jan;19(1):36–42.

  17. Rubel IF, Kloen P, Campbell D, Schwartz M, Liew A, Myers E, Helfet DL. , Open reduction and internal fixation of humeral nonunions : a biomechanical and clinical study. J Bone Joint Surg Am. 2002 Aug 1;84(8):1315–22.

最新号

Comparison of Malondialdehyde Levels among Patients with Sandblasted Acid-Etched and Anodized Surface Dental Implants: A Prospective Clinical Study Arvina Rajasekar, Sheeja S. Varghese Comparative Assessment of Catalase Levels in Peri-Implant Health and Disease M. Rithanya, Arvina Rajasekar Femoral Shaft Fracture Developed Late-Onset Infection in 27 Years after Intramedullary Nailing: A Case Report Yuichi Kasai, Ryo Okabayashi, Kentaro Aoki Comparative Evaluation of C-Reactive Protein Levels among Peri-Implant Health and Disease Conditions K. Sreekala Priyadharsini, Arvina Rajasekar Treatment of Schatzker Type III Tibial Plateau Fractures: Report of an Alternative, Percutaneous Technique and Brief Review of the Literature Avraam Christodoulidis, Piero Giardini, Carlo Raimondo Menna, Micaela Pagliari, Marco Molinari Ramus Frame Dental Implant Functional Survival and Safety in Severely Atrophic Edentulous Human Mandibles O. Hilt Tatum Jr., Thomas E. Rams The Role of Genicular Radiofrequency Ablation in the Management of Persistent Pain after Total Knee Arthroplasty Panagiotis Karampinas, Athanasios Galanis, Michail Vavourakis, Dimitrios Tzortzis, Evangelos Sakellariou, Dimitrios Zachariou, Spiros Karampitianis, John Vlamis Spiros Pneumaticos A Systematic Review on Maxillofacial Prosthesis with Respect to Their Color Stability Khushali K. Shah, Vaishnavi Rajaraman, Deepak Nallaswamy Veeraiyan, Subhabrata Maiti Robotic Arm-Assisted Total Knee Arthroplasty: Anatomical Alignment and Mid-Term Outcomes from the First Cohort Originating in Greece Konstantinos Dretakis, Vasilios G. Igoumenou, Symeon Naoum, Konstantinos Raptis, Christos Koutserimpas Relationship between Impacted Mandibular Third Molars and the Mandibular Canal on CBCT Scans Yaser Safi, Mahkameh Moshfeghi, Mitra Ghazizadeh Ahsaie, Maryam Zameni, Seyed Ahmadreza Sahafi Association of Age, Gender, and Site of Implant Placement: An Institution-Based Retrospective Study Harini K. Sri, Nabeel Ahmed, L. Keerthi Sasanka The Impact of Patient Characteristics on Outcomes of Surgically Managed Vertebral Osteomyelitis in the United States: Insights from a National Database Study Jennifer Kurowicki, Stuart Changoor, Daniel Coban, Neil Patel, Kumar Sinha, Ki Hwang, Arash Emami

近刊の記事

Transfer of guided emergence profile developed using customized provisional implant restoration and cementation using an abutment replica technique- A case report. Vinay Sivaswamy, Balaji Anand S D, Jacob Mathew Philip, C J Venkatakrishnan, Narasimman M, Helen Mary Abraham, Pavithra B Marijuana use is Associated with Increased Rates of Hip Dislocation and Lower Insurance Reimbursement among THA Recipients Andrew Recker, Chukwuweike Gwam, Erin Kelly, Scott Douglas, Johannes Plate Surface modification of Mg alloy AZ91D using nanopowder mixed EDM for Biodegradable Implant Alok Kumar, Abhishek Singh The history of orthopedics in the long term: from general medicine to medical specialties Pavlos Altsitzioglou, Ioannis Zafeiris, Fotini Soucacos, Pantelis Limneos, Eleftheria Souliotis, Evanthia Mitsiokapa, Theodosis Saranteas, Andreas Mavrogenis COMPARISON OF ROUGHNESS, WETTABILITY AND SCANNING ELECTRON MICROSCOPY FEATURES BETWEEN SANDBLASTED ACID-ETCHED AND OXIDIZED TITANIUM DENTAL IMPLANTS Kshitiz Chhabra, Arvina Rajasekar CORRELATION BETWEEN PRIMARY STABILITY OF DENTAL IMPLANTS AND BONE DENSITY: A RETROSPECTIVE ANALYSIS Padmaja S, Arvina Rajasekar C-Reactive Protein and Erythrocyte Sedimentation Rates after total and unicompartmental knee arthroplasty - less implant equals quicker normalization Kasım Kılıçarslan, Ömer Faruk Naldöven, Enejd Veizi, Şahan Güven, Şahin Çepni, Ahmet Fırat COMPLICATIONS FOLLOWING SHORT FEMORAL NAIL FIXATION FOR INTETROCHANTERIC HIP FRACTURES. A RETROSPECTIVE STUDY Anastasia Vasilopoulou, Antonios Trichonas, Konstantinos Palaiologos, Emmanouel Antonogiannakis, Christos Nikakis, Stavros Angelis, Spyridon Maris, Christos Grekas , Efthimios Karadimas, Alexandros Apostolopoulos FEA: Connector Designs and Pontic Stress Distribution of Fixed Partial Denture Implant-Supported Metal Framework Saja Muhsin, Enas Mohammed, Khalid Bander Design and Frequency Stability Analysis of an Adaptive Neuro-Fuzzy Inference System based Artificial Pacemaker Controller in MATLAB Nader Jafarnia Dabanloo, Asghar Dabiriaghdam, Fereidoon Nooshirvan Rahatabad, Keivan Maghooli Complications following intraosseous injections of calcium phosphate bone cement in Subchondroplasty. Christos Zachariadis, Helen Leligou, Stauros Kourkoulis, Evaggelos Magnisalis, Panayiotis Papagelopoulos, Olga Savvidou The Impact of Patient Characteristics on Outcomes of Surgically Managed Vertebral Osteomyelitis in the United States: Insights from a National Database Study Jennifer Kurowicki, Stuart Changoor, Daniel Coban, Neil Patel, Kumar Sinha, Ki Hwang, Arash Emami ASSOCIATION OF AGE, GENDER AND SITE OF IMPLANT PLACEMENT - AN INSTITUTION BASED RETROSPECTIVE STUDY Harini Sri, Nabeel Ahmed, Keerthi Shasanka
Begell Digital Portal Begellデジタルライブラリー 電子書籍 ジャーナル 参考文献と会報 リサーチ集 価格及び購読のポリシー Begell House 連絡先 Language English 中文 Русский Português German French Spain