Functional Outcome after Intramedullary Nailing of Humeral Shaft Fractures: Comparison between Retrograde Marchetti-Vicenzi and Unreamed AO Antegrade Nailing
BACKGROUND We compared anesthesia time, complications, fracture healing, as well as shoulder and elbow function after retrograde and antegrade nailing of humeral shaft fractures or impending fractures. METHODS Thirty retrograde Marchetti-Vicenzi nails (MVN) and 22 antegrade locked AO unreamed humera...
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| Veröffentlicht in: | The journal of trauma 2002-01, Vol.52 (1), p.60-71 |
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| creator | Scheerlinck, Thierry Handelberg, Frank |
| description | BACKGROUND We compared anesthesia time, complications, fracture healing, as well as shoulder and elbow function after retrograde and antegrade nailing of humeral shaft fractures or impending fractures.
METHODS Thirty retrograde Marchetti-Vicenzi nails (MVN) and 22 antegrade locked AO unreamed humeral nails (AO-UHN) were inserted in 52 patients. Forty-three fractures were followed up until healing, and three required reoperation for nonunion (two MVN, one AO-UHN). Nineteen MVN and 17 AO-UHN patients were evaluated according to Constant’s shoulder score and HSS elbow score after an average of 2 years (0.5–3.4 years).
RESULTS Anesthesia time did not differ significantly in both groups. Differences in Constant’s shoulder score between healthy and affected side were more important in the AO-UHN group due to limitation in ROM and loss of abduction power. Differences in HSS elbow score were similar in both groups, although four supracondylar fractures occurred in the MVN group.
CONCLUSION The retrograde approach to the humeral medullary cavity using a MVN resulted in better shoulder function and similar elbow function compared with the antegrade approach using an AO-UHN. |
| doi_str_mv | 10.1097/00005373-200201000-00012 |
| format | Article |
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METHODS Thirty retrograde Marchetti-Vicenzi nails (MVN) and 22 antegrade locked AO unreamed humeral nails (AO-UHN) were inserted in 52 patients. Forty-three fractures were followed up until healing, and three required reoperation for nonunion (two MVN, one AO-UHN). Nineteen MVN and 17 AO-UHN patients were evaluated according to Constant’s shoulder score and HSS elbow score after an average of 2 years (0.5–3.4 years).
RESULTS Anesthesia time did not differ significantly in both groups. Differences in Constant’s shoulder score between healthy and affected side were more important in the AO-UHN group due to limitation in ROM and loss of abduction power. Differences in HSS elbow score were similar in both groups, although four supracondylar fractures occurred in the MVN group.
CONCLUSION The retrograde approach to the humeral medullary cavity using a MVN resulted in better shoulder function and similar elbow function compared with the antegrade approach using an AO-UHN.</description><identifier>ISSN: 0022-5282</identifier><identifier>EISSN: 1529-8809</identifier><identifier>DOI: 10.1097/00005373-200201000-00012</identifier><identifier>PMID: 11791053</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Bone Nails ; Elbow Joint - diagnostic imaging ; Elbow Joint - physiopathology ; Female ; Follow-Up Studies ; Fracture Fixation, Intramedullary ; Fracture Healing - physiology ; Humans ; Humeral Fractures - diagnostic imaging ; Humeral Fractures - physiopathology ; Humeral Fractures - surgery ; Humerus - diagnostic imaging ; Humerus - physiopathology ; Humerus - surgery ; Male ; Middle Aged ; Radiography ; Recovery of Function - physiology ; Shoulder Joint - diagnostic imaging ; Shoulder Joint - physiopathology ; Time Factors ; Treatment Outcome</subject><ispartof>The journal of trauma, 2002-01, Vol.52 (1), p.60-71</ispartof><rights>2002 Lippincott Williams & Wilkins, Inc.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3562-75cabf11325c24069fd369a4f41b0564bc40692dd09d0c55c416a05cf2259ec43</citedby><cites>FETCH-LOGICAL-c3562-75cabf11325c24069fd369a4f41b0564bc40692dd09d0c55c416a05cf2259ec43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11791053$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scheerlinck, Thierry</creatorcontrib><creatorcontrib>Handelberg, Frank</creatorcontrib><title>Functional Outcome after Intramedullary Nailing of Humeral Shaft Fractures: Comparison between Retrograde Marchetti-Vicenzi and Unreamed AO Antegrade Nailing</title><title>The journal of trauma</title><addtitle>J Trauma</addtitle><description>BACKGROUND We compared anesthesia time, complications, fracture healing, as well as shoulder and elbow function after retrograde and antegrade nailing of humeral shaft fractures or impending fractures.
METHODS Thirty retrograde Marchetti-Vicenzi nails (MVN) and 22 antegrade locked AO unreamed humeral nails (AO-UHN) were inserted in 52 patients. Forty-three fractures were followed up until healing, and three required reoperation for nonunion (two MVN, one AO-UHN). Nineteen MVN and 17 AO-UHN patients were evaluated according to Constant’s shoulder score and HSS elbow score after an average of 2 years (0.5–3.4 years).
RESULTS Anesthesia time did not differ significantly in both groups. Differences in Constant’s shoulder score between healthy and affected side were more important in the AO-UHN group due to limitation in ROM and loss of abduction power. Differences in HSS elbow score were similar in both groups, although four supracondylar fractures occurred in the MVN group.
CONCLUSION The retrograde approach to the humeral medullary cavity using a MVN resulted in better shoulder function and similar elbow function compared with the antegrade approach using an AO-UHN.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bone Nails</subject><subject>Elbow Joint - diagnostic imaging</subject><subject>Elbow Joint - physiopathology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fracture Fixation, Intramedullary</subject><subject>Fracture Healing - physiology</subject><subject>Humans</subject><subject>Humeral Fractures - diagnostic imaging</subject><subject>Humeral Fractures - physiopathology</subject><subject>Humeral Fractures - surgery</subject><subject>Humerus - diagnostic imaging</subject><subject>Humerus - physiopathology</subject><subject>Humerus - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radiography</subject><subject>Recovery of Function - physiology</subject><subject>Shoulder Joint - diagnostic imaging</subject><subject>Shoulder Joint - physiopathology</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0022-5282</issn><issn>1529-8809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kdtuEzEQQC1ERUPhF5CfeFvq6154iyJCKxUiAeXV8npnG8OuHXxR1P4L_1qHBPqEJcsa-8yMxgchTMk7SrrmkpQlecMrRggjtERV2ZQ9QwsqWVe1Lemeo0V5ZJVkLTtHL2P8URAhePsCnVPadLRUWKDf6-xMst7pCW9yMn4GrMcEAV-7FPQMQ54mHe7xZ20n6-6wH_FVniEU_uu2kHgdtEk5QHyPV37e6WCjd7iHtAdw-Auk4O-CHgB_0sFsISVbfbcG3IPF2g341gU4tMHLDV66BEf21O0VOhv1FOH16bxAt-sP31ZX1c3m4_VqeVMZLmtWNdLofqSUM2mYIHU3DrzutBgF7YmsRW8Ol2wYSDcQI6URtNZEmpEx2YER_AK9PdbdBf8rQ0xqttFAmdyBz1E1lHeNkLKA7RE0wccYYFS7YOfyP4oSdVCj_qpR_9SoP2pK6ptTj9yXeZ8STy4KII7A3k9FQPw55T0EtQU9pa36n3L-CJdgmvE</recordid><startdate>200201</startdate><enddate>200201</enddate><creator>Scheerlinck, Thierry</creator><creator>Handelberg, Frank</creator><general>Lippincott Williams & Wilkins, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200201</creationdate><title>Functional Outcome after Intramedullary Nailing of Humeral Shaft Fractures: Comparison between Retrograde Marchetti-Vicenzi and Unreamed AO Antegrade Nailing</title><author>Scheerlinck, Thierry ; Handelberg, Frank</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3562-75cabf11325c24069fd369a4f41b0564bc40692dd09d0c55c416a05cf2259ec43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bone Nails</topic><topic>Elbow Joint - diagnostic imaging</topic><topic>Elbow Joint - physiopathology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fracture Fixation, Intramedullary</topic><topic>Fracture Healing - physiology</topic><topic>Humans</topic><topic>Humeral Fractures - diagnostic imaging</topic><topic>Humeral Fractures - physiopathology</topic><topic>Humeral Fractures - surgery</topic><topic>Humerus - diagnostic imaging</topic><topic>Humerus - physiopathology</topic><topic>Humerus - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Radiography</topic><topic>Recovery of Function - physiology</topic><topic>Shoulder Joint - diagnostic imaging</topic><topic>Shoulder Joint - physiopathology</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Scheerlinck, Thierry</creatorcontrib><creatorcontrib>Handelberg, Frank</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scheerlinck, Thierry</au><au>Handelberg, Frank</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional Outcome after Intramedullary Nailing of Humeral Shaft Fractures: Comparison between Retrograde Marchetti-Vicenzi and Unreamed AO Antegrade Nailing</atitle><jtitle>The journal of trauma</jtitle><addtitle>J Trauma</addtitle><date>2002-01</date><risdate>2002</risdate><volume>52</volume><issue>1</issue><spage>60</spage><epage>71</epage><pages>60-71</pages><issn>0022-5282</issn><eissn>1529-8809</eissn><abstract>BACKGROUND We compared anesthesia time, complications, fracture healing, as well as shoulder and elbow function after retrograde and antegrade nailing of humeral shaft fractures or impending fractures.
METHODS Thirty retrograde Marchetti-Vicenzi nails (MVN) and 22 antegrade locked AO unreamed humeral nails (AO-UHN) were inserted in 52 patients. Forty-three fractures were followed up until healing, and three required reoperation for nonunion (two MVN, one AO-UHN). Nineteen MVN and 17 AO-UHN patients were evaluated according to Constant’s shoulder score and HSS elbow score after an average of 2 years (0.5–3.4 years).
RESULTS Anesthesia time did not differ significantly in both groups. Differences in Constant’s shoulder score between healthy and affected side were more important in the AO-UHN group due to limitation in ROM and loss of abduction power. Differences in HSS elbow score were similar in both groups, although four supracondylar fractures occurred in the MVN group.
CONCLUSION The retrograde approach to the humeral medullary cavity using a MVN resulted in better shoulder function and similar elbow function compared with the antegrade approach using an AO-UHN.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>11791053</pmid><doi>10.1097/00005373-200201000-00012</doi><tpages>12</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Bone Nails Elbow Joint - diagnostic imaging Elbow Joint - physiopathology Female Follow-Up Studies Fracture Fixation, Intramedullary Fracture Healing - physiology Humans Humeral Fractures - diagnostic imaging Humeral Fractures - physiopathology Humeral Fractures - surgery Humerus - diagnostic imaging Humerus - physiopathology Humerus - surgery Male Middle Aged Radiography Recovery of Function - physiology Shoulder Joint - diagnostic imaging Shoulder Joint - physiopathology Time Factors Treatment Outcome |
| title | Functional Outcome after Intramedullary Nailing of Humeral Shaft Fractures: Comparison between Retrograde Marchetti-Vicenzi and Unreamed AO Antegrade Nailing |
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