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Related Experiment Videos

Closed nailing of the humerus--from down under.

J Rush1

  • 1Orthopaedic Department, St. Vincent's Hospital, Fitzroy, Victoria.

The Australian and New Zealand Journal of Surgery
|October 1, 1987
PubMed
Summary

Closed intramedullary nailing of the humerus with a Pohl nail is effective and safe. Insertion from below the olecranon fossa offers particular efficacy for humerus fractures.

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Bone Oncology

Background:

  • Closed intramedullary nailing is a standard orthopedic procedure.
  • The Pohl nail (curved clover-leaf nail) is used for humerus fractures.
  • Previous studies describe nail insertion techniques.

Purpose of the Study:

  • To present the technique of closed intramedullary nailing of the humerus using a Pohl nail.
  • To evaluate the clinical experience and efficacy of this procedure.
  • To analyze outcomes in various patient groups.

Main Methods:

  • Review of 36 cases treated between 1978 and 1985.
  • Surgical technique described as per Kuntscher et al.
  • Nail insertion performed from above or below the olecranon fossa.

Main Results:

  • The procedure is minor with few complications.
  • Effective outcomes observed in 36 cases.
  • Superior efficacy noted when inserting the nail from below the olecranon fossa.

Conclusions:

  • Closed intramedullary nailing of the humerus with a Pohl nail is an effective treatment.
  • Insertion from below the olecranon fossa is particularly recommended.
  • The technique is suitable for various indications including fractures and metastatic bone disease.

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