Rupture of an Intramedullary Elastic Bundle Nail following Humeral shaft Nonunion: A case report

被引:0
作者
Corradi N. [1 ]
Caruso G. [2 ]
Martini I. [1 ]
Massari L. [2 ]
机构
[1] Department of Morphology, Experimental Medicine and Surgery, Azienda Ospedaliero-Univeristaria di Ferrara–Arcispedale Sant’Anna, University of Ferrara
[2] Department of Biomedical and Specialty Surgical Sciences, Azienda Ospedaliero-Universitaria di Ferrara–Arcispedale Sant’Anna, University of Ferrara
来源
Journal of Long-Term Effects of Medical Implants | 2019年 / 29卷 / 01期
关键词
Bundle nail; Humeral shaft fracture; Intramedullary nailing; Nails rupture; Nonunion;
D O I
10.1615/JLongTermEffMedImplants.2019030530
中图分类号
学科分类号
摘要
A 77-year-old woman reported a spiral right humeral shaft fracture, which was treated by closed reduction and fixation with elastic bundle retrograde intramedullary nail. Despite a proper closed reduction and a minimally invasive surgery obtained, nonunion arose. The patient refused the advised second surgical treatment. At 12 months, the patient was admitted to our department as a consequence of persistent pain and unnatural humeral shaft mobility. New X-ray imaging highlighted intramedullary nail rupture due to excessive implant mobility at the nonunion site. Consequently, nail removal was performed, and plate and screws were then fixed, and a bone allograft was placed to allow fracture healing and proper stabilization. The literature reports optimal outcomes with elastic bundle intramedullary nailing. It is strongly suggested to obtain a closed reduction and minimally invasive dynamic fixation. Nonetheless, it may lead to several complications such as nonunion, for which surgical treatment is technically demanding and highly invasive. © 2019 by Begell House, Inc.
引用
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页码:11 / 17
页数:6
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