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العنوان
Locked Medullary Nailing for Treatment of Humeral Shaft Fractures
الناشر
Mohamed Ali Ahmed Mohamed ,
المؤلف
Mohamed, Mohamed Ali Ahmed
هيئة الاعداد
باحث / Mohamed Ali Ahmed Mohamed
مشرف / Adel Anwar Abdel-Aziz
مشرف / Gert Muhr
مشرف / Hussein Abdel-Salam Nazim
مشرف / Sadek EL-Sokkar
مشرف / Ibrahim EL-Hawary Ali
الموضوع
Orthopedic Treatment of Humeral Shaft Fractures
تاريخ النشر
2002 .
عدد الصفحات
217 p.
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
1/1/2002
مكان الإجازة
جامعة المنيا - كلية الطب - Orthopedic & Traumatology
الفهرس
Only 14 pages are availabe for public view

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Abstract

The aim of this study:
1- Determining whether this method is a simple and reliable technique that can improve the results of treatment of humeral shaft fractures or not. Also, determining the safety of this technique with regard to the proximity of the radial and axillary nerves and its effect on the shoulder and elbow joints.
2- Trying to detect any new indication for operation form our point of view rather than those determined in the literature.
3- Detection of the pitfalls, difficulties, and complications and the measures to avoid or decrease them and if these prevent generalization of this technique for all patients or not.
4- Reporting our recommendations for improving the results of using this technique as a line of management of humeral shaft fracture.
Conclusions:
1- The use of interlocking nailing improves the results of treating acute humeral shaft fractures and delayed unions.
2- This technique provides a simple reliable technique for treating acute humeral shaft fracture and delayed unions.
3- Following the optimum procedure and recommendation for application gives high degree of safety to the patient as a whole and locally with regard to the proximity of the radial nerve distally and the axillary nerve proximally.
4- A good function of the elbow and shoulder joints postoperatively can be obtained by meticulous anatomical dissection, gentle dealing with tissues, good protection and prefect repair of the rotator cuff muscles, and early mobilization using the recommended regimen of physiotherapy.
5- From our point of view, interlocking nailing may be considered for all cases of acute humeral shaft fractures from the surgical neck to 2 cm proximal to the olecarnon fossa of the humerus. This is because of the great advantage of the minimal surgical interference, less operative time, minimal blood loss, minimal possibility of infection, ability of the patient to move his limb from the next day postoperative, return to non aggressive work one month post operative.