$Alternative and off-label use of Titanium Elastic Nail® in acute adult humeral diaphyseal and subcapital fractures$
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Alternative and off-label use of Titanium Elastic Nail® in acute adult humeral diaphyseal and subcapital fractures

Traumatic adult humeral diaphyseal fractures can be difficult to deal with in geriatric patients. Three examples are summarized in using Titanium Elastic Nails® (TEN) in adult patients as an efficient alternative and an off-label strategy in treating diaphyseal as well as subcapital humeral fracture...

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Autores principales:	C.E.M. Pothmann, V. Neuhaus, H.-C. Pape, H.-P. Simmen, K.O. Jensen
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Titanium Elastic Nail® TEN Humerus fracture Intramedullary nailing Alternative fracture care Off-label fracture care Surgery RD1-811
Acceso en línea:	https://doaj.org/article/bb801fba835c450bba0f1783a2aa711b
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spelling	oai:doaj.org-article:bb801fba835c450bba0f1783a2aa711b2021-11-26T04:40:52ZAlternative and off-label use of Titanium Elastic Nail® in acute adult humeral diaphyseal and subcapital fractures2666-262010.1016/j.sipas.2021.100044https://doaj.org/article/bb801fba835c450bba0f1783a2aa711b2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666262021000206https://doaj.org/toc/2666-2620Traumatic adult humeral diaphyseal fractures can be difficult to deal with in geriatric patients. Three examples are summarized in using Titanium Elastic Nails® (TEN) in adult patients as an efficient alternative and an off-label strategy in treating diaphyseal as well as subcapital humeral fractures.A 75 years old adult female patient suffering from a motor neuron disease with flail arm syndrome and symmetric limp paraparesis of the arms with missing reflexes of arms and legs. Plain film radiographs demonstrated a multifragmentary fracture of the diaphysis of the right humerus with slight dislocation. After fail of an initial conservative therapy attempt, the fracture was splinted intramedullary with two titanium elastic nails until fracture healing.A 59 years old female patient slipped and fell at ground level on her left side. An oblique diaphyseal humeral fracture was found. Due to an anticoagulation with clopidogrel and a major rotator cuff lesion an immediate operation was performed by minimally invasive intramedullary titanium elastic nailing. Two and a half months after surgery the fracture was fully consolidated, full weight bearing was possible four months after the surgery. The implant removal was performed five and a half months after the initial trauma without postoperative complications with full recovery of the patient and restitutio in integrum.A young female skier fell on the ski field and sustained a subcapital humerus fracture on the left side. As a primary wish of the patient getting the most minimally invasive and scar free operation, an off-label use of Titanium Elastic Nail® (TEN) was chosen and performed.The postoperative stability did allow an adequate early functional training with initially passive and active assistive motion.In conclusion, intramedullary titanium elastic nailing can be a sufficient minimally invasive technique in patients with secondary diagnoses influencing operability, bone structure and fracture healing.C.E.M. PothmannV. NeuhausH.-C. PapeH.-P. SimmenK.O. JensenElsevierarticleTitanium Elastic Nail®TENHumerus fractureIntramedullary nailingAlternative fracture careOff-label fracture careSurgeryRD1-811ENSurgery in Practice and Science, Vol 7, Iss , Pp 100044- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Titanium Elastic Nail® TEN Humerus fracture Intramedullary nailing Alternative fracture care Off-label fracture care Surgery RD1-811
spellingShingle	Titanium Elastic Nail® TEN Humerus fracture Intramedullary nailing Alternative fracture care Off-label fracture care Surgery RD1-811 C.E.M. Pothmann V. Neuhaus H.-C. Pape H.-P. Simmen K.O. Jensen Alternative and off-label use of Titanium Elastic Nail® in acute adult humeral diaphyseal and subcapital fractures
description	Traumatic adult humeral diaphyseal fractures can be difficult to deal with in geriatric patients. Three examples are summarized in using Titanium Elastic Nails® (TEN) in adult patients as an efficient alternative and an off-label strategy in treating diaphyseal as well as subcapital humeral fractures.A 75 years old adult female patient suffering from a motor neuron disease with flail arm syndrome and symmetric limp paraparesis of the arms with missing reflexes of arms and legs. Plain film radiographs demonstrated a multifragmentary fracture of the diaphysis of the right humerus with slight dislocation. After fail of an initial conservative therapy attempt, the fracture was splinted intramedullary with two titanium elastic nails until fracture healing.A 59 years old female patient slipped and fell at ground level on her left side. An oblique diaphyseal humeral fracture was found. Due to an anticoagulation with clopidogrel and a major rotator cuff lesion an immediate operation was performed by minimally invasive intramedullary titanium elastic nailing. Two and a half months after surgery the fracture was fully consolidated, full weight bearing was possible four months after the surgery. The implant removal was performed five and a half months after the initial trauma without postoperative complications with full recovery of the patient and restitutio in integrum.A young female skier fell on the ski field and sustained a subcapital humerus fracture on the left side. As a primary wish of the patient getting the most minimally invasive and scar free operation, an off-label use of Titanium Elastic Nail® (TEN) was chosen and performed.The postoperative stability did allow an adequate early functional training with initially passive and active assistive motion.In conclusion, intramedullary titanium elastic nailing can be a sufficient minimally invasive technique in patients with secondary diagnoses influencing operability, bone structure and fracture healing.
format	article
author	C.E.M. Pothmann V. Neuhaus H.-C. Pape H.-P. Simmen K.O. Jensen
author_facet	C.E.M. Pothmann V. Neuhaus H.-C. Pape H.-P. Simmen K.O. Jensen
author_sort	C.E.M. Pothmann
title	Alternative and off-label use of Titanium Elastic Nail® in acute adult humeral diaphyseal and subcapital fractures
title_short	Alternative and off-label use of Titanium Elastic Nail® in acute adult humeral diaphyseal and subcapital fractures
title_full	Alternative and off-label use of Titanium Elastic Nail® in acute adult humeral diaphyseal and subcapital fractures
title_fullStr	Alternative and off-label use of Titanium Elastic Nail® in acute adult humeral diaphyseal and subcapital fractures
title_full_unstemmed	Alternative and off-label use of Titanium Elastic Nail® in acute adult humeral diaphyseal and subcapital fractures
title_sort	alternative and off-label use of titanium elastic nail® in acute adult humeral diaphyseal and subcapital fractures
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/bb801fba835c450bba0f1783a2aa711b
work_keys_str_mv	AT cempothmann alternativeandofflabeluseoftitaniumelasticnailinacuteadulthumeraldiaphysealandsubcapitalfractures AT vneuhaus alternativeandofflabeluseoftitaniumelasticnailinacuteadulthumeraldiaphysealandsubcapitalfractures AT hcpape alternativeandofflabeluseoftitaniumelasticnailinacuteadulthumeraldiaphysealandsubcapitalfractures AT hpsimmen alternativeandofflabeluseoftitaniumelasticnailinacuteadulthumeraldiaphysealandsubcapitalfractures AT kojensen alternativeandofflabeluseoftitaniumelasticnailinacuteadulthumeraldiaphysealandsubcapitalfractures
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Alternative and off-label use of Titanium Elastic Nail® in acute adult humeral diaphyseal and subcapital fractures

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