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Year : 2020  |  Volume : 19  |  Issue : 2  |  Page : 54-58

Humeral interlocking intramedullary nailing without image intensifier in a developing country

1 Department of Surgery, Bowen University Teaching Hospital, Ogbomoso, Nigeria
2 Department of Family Medicine, Bowen University Teaching Hospital, Ogbomoso, Oyo State and Bowen University, Iwo, Osun Sate, Nigeria
3 Department of Orthopaedic Surgery and Traumatology, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria
4 Department of Family Medicine, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria
5 Department of Family Medicine, Brighthope Specialist Hospitals Limited, Lagos State, Nigeria
6 Department of Family Medicine, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria

Correspondence Address:
Dr. Olalekan Akeem Anipole
Department of Surgery, Bowen University, Iwo, Osun State
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njot.njot_20_20

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Background: Interlocking intramedullary nailing under image intensifier has been a standard approach to surgical treatment of humeral fractures. Aim: We present the outcome of humeral interlocking nailing without image intensifier in a developing country. Materials and Methods: This is a prospective study of consecutive patients with humeral shaft fractures who were treated with Surgical Implant Generation Network interlocking nailing for humeral shaft fractures using an external jig system. They were followed up for at least 6 months if there was no evidence of fracture healing and restoration of functional activities. Data collected were processed with the Statistical Package for the Social Sciences and summarised in percentages and means. Results: Forty-five patients with 46 humeral shaft fractures were studied, with a mean age and standard deviation of 46 ± 14.6 years and male-female ratio of 1.8:1. At 3 months, 44 (95.7%) of the patients have had radiographic evidence of fracture healing. Over the same period, 35 (76.1%) of them had achieved shoulder abduction >90°, 37 (80.5%) had achieved painless shoulder flexion-abduction-external rotation movement and 42 (91.3%) had achieved full activities of daily living. Conclusion: In a resource-constrained population where image intensifier is difficult to come by, humeral interlocking intramedullary nailing could still be performed using external jig system with a satisfactory outcome.

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