Report of a Humeral Non-Union that Occurred After Inflatable Nail Fixation. A Systematic Review of the Literature and Case Presentation

Abstract

Dynamic compression plate with screw ostesynthesis is still the gold standard for the surgical approach to humeral diaphysis fractures. However, inflatable intramedullary nails are now preferred by surgeons as they offer the technical advantage of not using a distal locking bolt. The aim of this study was to present a didactic case of humeral non-union that occurred after inflatable nail fixation and to share the implications of this case with a systematic review of the literature regarding inflatable intramedullary choices for humeral diaphysis fracture

Keywords

• Humeral diaphysis fracture, Inflatable nail, Non-union, Long bone fracture, Intramedullary nail

Şişebilen İntramedüller Çivi ile Tedavi Sonrası Oluşan Bir Kaynamama Olgusu. Literatürün Sistematik Gözden Geçirilmesi ve Olgu Sunumu

Öz

Humerus diafiz kırıklarının cerrahi tedavisinde halen altın standart plaklı osteosentezdir, ancak intramedüller şişebilen çivilemenin geliştirilmesi skopi kontrolündeki anterotasyon distal vida konulmasının teknik zorluğunu ortadan kaldırabildiği için cerrahlar tarafından tercih edilir olmuştur. Bu makalede humeral diafiz kırığı nedeni ile şişebilen intramedüller çivi ile opere edilmiş bir didaktik olgunun sunulması ve literatürün gözden geçirilip elde edilen bulguları ve bu olgunun bize verdiği klinik dersi okuyucuyla paylaşmayı hedefledik

Anahtar Kelimeler

• Humerus diafiz kırığı, Şişebilen intramedüller çivi, Kaynamama, Uzun kemik kırığı, İntramedüller çivi

References

1. Böhler L. Conservative treatment of fresh closed fractures of the shaft of the humerus. J Trauma 1965; 5: 464-68.
2. Charnley J. The closed Treatment of Common Fractures. London: Churchill Livingstone 1974.
3. Jupiter JB, Van Deck M. Ununited humeral diaphyses. J Shoulder Elbow Surg 1998; 7:644-53.
4. Sarmiento A, Waddell JP, Latta LL. Diaphyseal humeral fractures: Treatment options. J Bone Joint Surg 2001; 83- A: 1566-79.
5. Farragos AF, Schemitsch EH, McKee MD. Complications of intramedullary nailing for fractures of the humeral shaft: A review. J Orthop Trauma 1999;13(4):258-67.
6. Browner: Skeletal Trauma: Basic Science, Management, and Reconstruction. 3rd ed. Fractures of Humerus management. Saunders Elsevier 2003.
7. Lorich DG, Geller DS,Yacoubian SV, Leo AJ, Helfet DL. Intramedullary fixation of humeral shaft fractures using an inflatable nail. Orthopedics 2003 26(10):1011-4.
8. Pittlik N, Hartwig T, Berger S, van der Horst W. First experiences with the Fixion nail. A new way of intramedullary nailing system. Eur J Trauma 2002; Suppl 1: 117.

9. Tauber M, Shasha N. Fixion IM nail-an innovative inflatable self-locking intramedullary nailing system for fractures of the long bones. AAOS. San Francisco, USA; February 2001.
10. Mallick E, Hazarika S,Assad S, Scott M.The fixion nailing system for stabilising diaphyseal fractures of the humerus: A two-year clinical experience. Acta Orthop Belg 2008; 74(3): 308-16.
11. Smith WR, Ziran B, Agudelo JF, Morgan SJ, Lahti Z, Vanderheiden T, Williams A. Expandable intramedullary nailing for tibial and femoral fractures: A preliminary analysis of perioperative complications. J Orthop Trauma 2006; 20(5): 310-4.
12. Smith MG, Canty SJ, Khan SA. Fixion-an inflatable or deflatable nail ? Injury 2004; 35(3):329-31.
13. Ozturk H, Unsaldi T, Oztemur Z, Bulut O, Korkmaz M, Demirel H. Extreme complications of Fixion nail in treatment of long bone fractures. Arch Orthop Trauma Surg 2008; 128(3):301-6.
14. Dağlar B, Delialioğlu OM, Taşbaş BA, Bayrakçi K, Ağar M, Günel U. Comparison of plate-screw fixation and intramedullary fixation with inflatable nails in the treatment of acute humeral shaft fractures. Acta Orthop Traumatol Turc 2007; 41(1):7-14.
15. Franck WM, Olivieri M, Jannasch O, Hennig FF. Expandable nail system for osteoporotic humeral shaft fractures: preliminary results. J Trauma. 2003; 54(6): 1152-8.
16. Panidis G, Sayegh F, Beletsiotis A, et al. The use of an innovativeinflatable self-locking intramedullary nail in treating and stabilizing long bone fractures. Technique- Preliminary results. Osteo Trauma Care 2003; 11:108- 112.
17. Franck WM, Olivieri M, Jannasch O, Hennig FF. An expandable nailing system for the management of pathological humerus fractures. Arch Orthop Trauma Surg 2002; 122(7):400-5.
18. Narain S, Dave PK, Shah SN, Ganai M, Singh S, Singh A. A comparative study of intramedullary expandable nail and interlocking nail in tibial, Femoral & Humeral shaft fractures: A prospective and retrospective study. JIMSA 2011; 24(1): 15-6.
19. Daccarett M, Walz BM, Seligson D. Use of expandable nail in the treatment of non union of fractures of the femur, tibia and humerus. Osteo Trauma Care 2004; 1:130-4.
20. Blum J, Karagül G, Sternstein W, Rommens PM. Bending and torsional stiffness in cadaver humeri fixed with a self-locking expandable or interlocking nail system: A mechanical study. J Orthop Trauma 2005; 19(8):535-42
21. Jovanovic A, Pirpiris M, Semirli H, Doig SG. Fixion nails for humeral fractures. Injury 2004; 35(11): 1140-2.
22. Dağlar B, Bayrakci K, Taşbaş BA, Gürkan I, Ağar M, Günel U. Short-term results of treatment of humeral and tibial fractures with new inflatable intramedullary nails. Acta Orthop Traumatol Turc 2002; 36(4):322-7.
23. Serbest S, Tosun HB, Gökçe H. Results in the treatment of Tibial diaphyseal fractures with expandable intramedullary nails. J Clin Anal Med 2015; 6(5):565-8.
24. Cilli F, Mahiroğullari M, Pehlivan O, Keklikçi K, Kuşkucu M, Kiral A, Avşar S. Treatment of femoral shaft fractures with expandable intramedullary nail. Ulus Travma Acil Cerrahi Derg 2009;15(4):383-9.
25. Kapoor SK, Kataria H, Boruah T, Patra SR, Chaudhry A, Kapoor S. Expandable self-locking nail in the management of closed diaphyseal fractures of femur and tibia. Indian J Orthop 2009; 43(3):264-70.
26. Beazley J, Mauffrey C, Seligson D. Treatment of acute tibial shaft fractures with an expandable nailing system: A systematic review of the literature. Injury 2011; 42 Suppl 4:11-6.
27. Bekmezci T, Baca E, Kaynak H, Kocabaş R, Tonbul M, Yalaman O. Early results of treatment with expandable intramedullary nails in femur shaft fractures. Acta Orthop Traumatol Turc 2006; 40(1):1-5.
28. Blomquist J, Lundberg OJ, Gjerdet NR, Mİlster A. Are inflatable nails an alternative to interlocked nails in tibial fractures? Clin Orthop Relat Res 2008; 466(5):1225-31.
29. Zoccali C, Di Francesco A, Ranalletta A, Flamini S. Clinical and radiological midterm results from using the Fixion expandable intramedullary nail in transverse and short oblique fractures of femur and tibia. J Orthop Traumatol 2008; 9(3):123-8.
30. Lepore L, Lepore S, Maffulli N. Intramedullary nailing of the femur with an inflatable self-locking nail: Comparison with locked nailing. J Orthop Sci 2003; 8(6):796-801.