Dr. Arjav Patel, Dr. Dhaval Modi


Introduction: Humerus shaft fractures in adults can be managed conservatively with functional braces or operatively
with plate Osteosynthesis or with intramedullary nailing. Conventionally humerus intramedullary nailing is done either
using humerus interlocking nails or Enders nails.
In this study, we analyze the outcome of humerus shaft fractures (upper and middle third) managed with closed antegrade
intramedullary titanium elastic nailing in terms of union rates, union time, functional results and complications.
Materials and Methods: A retrospective analysis of 25 patients treated with ante-grade intramedullary titanium elastic
nailing was done during the period of August 2015 to June 2018 at our tertiary care center. Skeletally mature patients with
closed and acute fractures of the upper and middle shaft humerus of both sexes were included in the study.
Results: Twenty-five (100%) fractures united with an average consolidation time of 14.98 weeks (10-32 weeks), and no
fractures ended in non-union. Nail impingement was seen in two (8%), shoulder stiffness in one (4%). Functional results
were excellent in 22 (88%), moderate in two (8%) and poor in one (4%). There were 17 males and eight females with an
average age of 39.08 years (range: 18-65 years). The average duration of hospital stay was 3.84±2.30 days.
Conclusion: Closed ante-grade intramedullary titanium elastic nailing offers a safe and reliable method of fixing
fractures of upper humeral shaft in adults. This method provides early fracture union, high union rates and less
complications, in addition to early rehabilitation and reduces the hospital stay.


fracture shaft humerus, adult, ante grade, intramedullary, titanium elastic nailing

Full Text:



  • There are currently no refbacks.