The portal of Neviaser: a valid option for antegrade nailing of humerus fractures
Abstract Introduction The objective of this retrospective non-randomized study was to evaluate the portal of Neviaser (PN) as an alternative approach in antegrade humeral nailing. Methods The surgical approach for the straight antegrade intramedullary nail (SAIN) was either the anterolateral delta-s...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-02-01
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| Series: | Journal of Experimental Orthopaedics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40634-020-00222-0 |
| _version_ | 1797225735963803648 |
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| author | Torsten Gerich Caroline Mouton Lea Jabbarian Jean-Paul Weydert Alexander Hoffmann Dietrich Pape Romain Seil |
| author_facet | Torsten Gerich Caroline Mouton Lea Jabbarian Jean-Paul Weydert Alexander Hoffmann Dietrich Pape Romain Seil |
| author_sort | Torsten Gerich |
| collection | DOAJ |
| description | Abstract Introduction The objective of this retrospective non-randomized study was to evaluate the portal of Neviaser (PN) as an alternative approach in antegrade humeral nailing. Methods The surgical approach for the straight antegrade intramedullary nail (SAIN) was either the anterolateral delta-split (group 2, n = 79) or the portal of Neviaser (group 3, n = 27). Length of surgery and time of radiation were extracted from charts. Patients stabilized using the PN were followed for a clinical and radiological exam. At follow-up we evaluated the DASH (Disability of the Arm, Shoulder and Hand) and CMS (Constant-Murley Score). Results Between 10.2015 and 12.2018 191 proximal and diaphyseal humeral fractures were operated using either an angular stable extramedullary device (group 1, PHILOS®, n = 85) or a straight humeral nail (MultiLoc®, n = 106). Time of radiation and intervention followed a normal distribution. The mean length of surgery was 172.9 min (SD 91.5) in group 1, 121.5 min (SD 54.1) in group 2 and 96.4 min (SD 33.7) in group 3 (p < 0.01). Time of radiation was significantly different with 1.1 min (SD 0.6: group 1), 3.1 min (SD 1.6: group 2) and 2.9 min (SD 1.7: group 3) (p < 0.01). After a mean interval of 21.5 months (range 6–43 months) 14 / 27 patients of group 3 were available for a clinical and radiological follow-up. The mean DASH in group 3 was 25, the CMS reached 70. The age and sex weighted CMS mean value was 96%. Forward flexion was 131°, abduction 125°. The ratio of strength affected versus non-affected side was 4.4: 6.2 kg. Conclusions The portal of Neviaser is a feasible and safe approach and is an alternative to the anterolateral delta-split. Length of surgery and time of radiation were significantly shorter. Level of evidence IV |
| first_indexed | 2024-03-08T07:58:21Z |
| format | Article |
| id | doaj.art-181d85585d384404ab3182ad0bdff725 |
| institution | Directory Open Access Journal |
| issn | 2197-1153 |
| language | English |
| last_indexed | 2024-04-24T14:13:45Z |
| publishDate | 2020-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Experimental Orthopaedics |
| spelling | doaj.art-181d85585d384404ab3182ad0bdff7252024-04-03T08:56:37ZengWileyJournal of Experimental Orthopaedics2197-11532020-02-01711910.1186/s40634-020-00222-0The portal of Neviaser: a valid option for antegrade nailing of humerus fracturesTorsten Gerich0Caroline Mouton1Lea Jabbarian2Jean-Paul Weydert3Alexander Hoffmann4Dietrich Pape5Romain Seil6Department of Orthopaedic Trauma, Centre Hospitalier de LuxembourgDepartment of Orthopaedic Surgery, Centre Hospitalier de LuxembourgDepartment of Public Health, Erasmus MCDepartment of Physiotherapy, Centre Hospitalier de LuxembourgDepartment of Orthopaedic Surgery, Centre Hospitalier de LuxembourgDepartment of Orthopaedic Surgery, Centre Hospitalier de LuxembourgDepartment of Orthopaedic Surgery, Centre Hospitalier de LuxembourgAbstract Introduction The objective of this retrospective non-randomized study was to evaluate the portal of Neviaser (PN) as an alternative approach in antegrade humeral nailing. Methods The surgical approach for the straight antegrade intramedullary nail (SAIN) was either the anterolateral delta-split (group 2, n = 79) or the portal of Neviaser (group 3, n = 27). Length of surgery and time of radiation were extracted from charts. Patients stabilized using the PN were followed for a clinical and radiological exam. At follow-up we evaluated the DASH (Disability of the Arm, Shoulder and Hand) and CMS (Constant-Murley Score). Results Between 10.2015 and 12.2018 191 proximal and diaphyseal humeral fractures were operated using either an angular stable extramedullary device (group 1, PHILOS®, n = 85) or a straight humeral nail (MultiLoc®, n = 106). Time of radiation and intervention followed a normal distribution. The mean length of surgery was 172.9 min (SD 91.5) in group 1, 121.5 min (SD 54.1) in group 2 and 96.4 min (SD 33.7) in group 3 (p < 0.01). Time of radiation was significantly different with 1.1 min (SD 0.6: group 1), 3.1 min (SD 1.6: group 2) and 2.9 min (SD 1.7: group 3) (p < 0.01). After a mean interval of 21.5 months (range 6–43 months) 14 / 27 patients of group 3 were available for a clinical and radiological follow-up. The mean DASH in group 3 was 25, the CMS reached 70. The age and sex weighted CMS mean value was 96%. Forward flexion was 131°, abduction 125°. The ratio of strength affected versus non-affected side was 4.4: 6.2 kg. Conclusions The portal of Neviaser is a feasible and safe approach and is an alternative to the anterolateral delta-split. Length of surgery and time of radiation were significantly shorter. Level of evidence IVhttp://link.springer.com/article/10.1186/s40634-020-00222-0RetrospectiveNon-randomizedHumerus fractureStraight nailNeviaserRotator cuff |
| spellingShingle | Torsten Gerich Caroline Mouton Lea Jabbarian Jean-Paul Weydert Alexander Hoffmann Dietrich Pape Romain Seil The portal of Neviaser: a valid option for antegrade nailing of humerus fractures Journal of Experimental Orthopaedics Retrospective Non-randomized Humerus fracture Straight nail Neviaser Rotator cuff |
| title | The portal of Neviaser: a valid option for antegrade nailing of humerus fractures |
| title_full | The portal of Neviaser: a valid option for antegrade nailing of humerus fractures |
| title_fullStr | The portal of Neviaser: a valid option for antegrade nailing of humerus fractures |
| title_full_unstemmed | The portal of Neviaser: a valid option for antegrade nailing of humerus fractures |
| title_short | The portal of Neviaser: a valid option for antegrade nailing of humerus fractures |
| title_sort | portal of neviaser a valid option for antegrade nailing of humerus fractures |
| topic | Retrospective Non-randomized Humerus fracture Straight nail Neviaser Rotator cuff |
| url | http://link.springer.com/article/10.1186/s40634-020-00222-0 |
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