Humeral intramedullary nail bending following trauma: a case report

The surgical approach for humeral implant failure can be challenging due to neurovascular anatomy and the possible necessity of osteosynthesis removal. We present a rare case of humeral nail bending after secondary trauma in a patient with preexistent nonunion of the humerus after intramedullary nai...

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Main Authors: Siem A. Willems, Alexander P. A. Greeven
Format: Article
Language:English
Published: Korean Society of Traumatology 2023-03-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://jtraumainj.org/upload/pdf/jti-2022-0002.pdf
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author Siem A. Willems
Alexander P. A. Greeven
author_facet Siem A. Willems
Alexander P. A. Greeven
author_sort Siem A. Willems
collection DOAJ
description The surgical approach for humeral implant failure can be challenging due to neurovascular anatomy and the possible necessity of osteosynthesis removal. We present a rare case of humeral nail bending after secondary trauma in a patient with preexistent nonunion of the humerus after intramedullary nailing. During revision surgery, the nail was sawed in half and the distal part was removed, followed by plate osteosynthesis with cable fixation to achieve absolute stability. The patient regained a full range of motion 1 year after surgery, and complete healing of the fracture was seen on imaging.
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institution Kabale University
issn 2799-4317
2287-1683
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publishDate 2023-03-01
publisher Korean Society of Traumatology
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series Journal of Trauma and Injury
spelling doaj-art-69731311c5d74bc5a8b02d34586317f02025-01-16T05:39:35ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-03-01361656910.20408/jti.2022.00021197Humeral intramedullary nail bending following trauma: a case reportSiem A. Willems0Alexander P. A. Greeven1 Department of Surgery, Haga Teaching Hospital, The Hague, Netherlands Department of Surgery, Haga Teaching Hospital, The Hague, NetherlandsThe surgical approach for humeral implant failure can be challenging due to neurovascular anatomy and the possible necessity of osteosynthesis removal. We present a rare case of humeral nail bending after secondary trauma in a patient with preexistent nonunion of the humerus after intramedullary nailing. During revision surgery, the nail was sawed in half and the distal part was removed, followed by plate osteosynthesis with cable fixation to achieve absolute stability. The patient regained a full range of motion 1 year after surgery, and complete healing of the fracture was seen on imaging.http://jtraumainj.org/upload/pdf/jti-2022-0002.pdfhumeral fracturesintramedullary nailnail bendingnonunioncase reports
spellingShingle Siem A. Willems
Alexander P. A. Greeven
Humeral intramedullary nail bending following trauma: a case report
Journal of Trauma and Injury
humeral fractures
intramedullary nail
nail bending
nonunion
case reports
title Humeral intramedullary nail bending following trauma: a case report
title_full Humeral intramedullary nail bending following trauma: a case report
title_fullStr Humeral intramedullary nail bending following trauma: a case report
title_full_unstemmed Humeral intramedullary nail bending following trauma: a case report
title_short Humeral intramedullary nail bending following trauma: a case report
title_sort humeral intramedullary nail bending following trauma a case report
topic humeral fractures
intramedullary nail
nail bending
nonunion
case reports
url http://jtraumainj.org/upload/pdf/jti-2022-0002.pdf
work_keys_str_mv AT siemawillems humeralintramedullarynailbendingfollowingtraumaacasereport
AT alexanderpagreeven humeralintramedullarynailbendingfollowingtraumaacasereport