Retrograde intramedullary stabilization of humeral fractures by flexible nails

ABSTRACT

Twenty patients with humeral fractures were treated by internal fixation by flexible intramedullary nails. Retrograde nailing was done for all cases using two or three flexible nails [Gliding or Nancy type of nails] through posterior approach in distal humerus, using triceps splitting approach. This technique was adopted in poly-trauma cases, moderately comminuted humeral fractures, segmental fractures and in cases in which maintenance of reduction by non-operative means is difficult. The results obtained were excellent as regards the rate of union [95%] and convenience to the patients with minimal accepted complications. The study recommended flexible nailing in treatment of selected humeral fractures because it is safe, easy, time saving and less costly