Percutaneous fixation of adult Humerus with Titanium elastic nails

Objective: To study the results of treatment of fractures of shaft of Humerus using percutaneous Titanium Nails. Methodology: This is a quasi-experimental, prospective, interventional, study of 30 clinical cases that were operated with retrograde, per cutaneous elastic Titanium nails for treatment of diaphyseal fractures of adult Humerus. Cases close to either ends of the bone, those presenting with Grade II open fractures and neurovascular injury were excluded along with pathological fractures. All complications were noted. All cases were followed up for one year postoperatively. Results: The age range of the 30 patients included in the study was 33.50 + 11.08 (18-65) years with a follow up period of one year. There were 21(70%) male patients and 9(30%) female patients in the study. We observed clinical and radiological union in 23 patients, delayed union in 5(bone grafting done later), non union in 2 patients. Both these nonunion cases were treated later with internal fixation with plating. All united fractures were in acceptable range of angulation and rotation. On an average radiological union occurred between 3 to 4 months. We observed average 10 degree of limitation in shoulder abduction and extension lag of 10 degree at elbow joint. Two cases reported with deep infection. Conclusion: The use of Titanium Elastic Nails in the treatment of diaphyseal Humerus fractures seems to be a safe option with minimal morbidity. Percutaneous fixation of adult Humerus fracture is a less time consuming procedure with minimal blood loss, minimal soft tissue disruption and facilitates natural healing at fracture site.