Reyes-Saravia GA

Language: English
References: 25
Page: 22-27
PDF size: 63.02 Kb.

ABSTRACT

Objective. To describe the complications associated to the surgical management of humeral shaft fractures with a UHN pin using retrograde versus antegrade insertion. Material and methods. A retrospective, cross-sectional, descriptive study of 22 patients with a humeral shaft fracture managed with a UHN pin between July 1, 1998 and July 30, 2001. Nine patients underwent antegrade insertion and 13 patients underwent retrograde insertion. Perioperative and late complications with both techniques are assessed. Evaluation parameters include bone healing and functional outcome. Results. The highest intraoperative complication rate occurred with the antegrade insertion in 3 cases with added shaft fracture. Four cases (44.4%) with the antegrade approach and 3 cases (23%) with the retrograde approach required a second surgery due to nonunion. One case had a circumflex nerve injury and one case had a radial nerve injury with the retrograde approach. There were no differences in the functional outcome of the two groups. Conclusions. The highest complication rate occurred with the antegrade approach. Complications are more likely related to surgical technique failures than to the implant or the approach used.

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