Osteo trauma care 2007; 15(4): 178-186
DOI: 10.1055/s-2008-1004792
Review

© Georg Thieme Verlag Stuttgart · New York

The Locking Nail for the Humerus - Does it Fulfill the Expectations?

J. P. A. M. Verbruggen1
  • 1Department of Traumatology, University Hospital Maastricht, Maastricht, The Netherlands
Further Information

Publication History

Publication Date:
11 June 2008 (online)

Abstract

The purpose of this article is to evaluate the humeral locking nail in the treatment of humeral shaft fractures. First disappointing experiences with reamed locking nails led at least to some controversy. A review of the literature on treatment of humeral fractures showed that he majority of (clinical) information was contained in retrospective reviews; only three prospective or randomized studies were identified. Furthermore the results are not consistent. The criticism based on experiences with first implants is not entirely justified. The humeral locking nail is a valid implant for the treatment of humeral fractures. Like every other implant however it comes with its own specific complications and there is a learning curve. The humeral locking nail therefore should be seen as a complementary technique to the existing implants with its own advantages and drawbacks.