Locked intramedullary nailing of symptomatic metastases in the humerus

S J Spencer, G Holt, J V Clarke, A Mohammed, W J Leach, J L B Roberts

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11 Citations (Scopus)

Abstract

The humerus is a common site for skeletal metastases in the adult. Surgical stabilisation of such lesions is often necessary to relieve pain and restore function. These procedures are essentially palliative and should therefore provide effective relief from pain for the remainder of the patient's life without the need for further surgical intervention. We report a retrospective analysis of 35 patients (37 nails) with symptomatic metastases in the shaft of the humerus which were treated by locked, antegrade nailing. There were 27 true fractures (73.0%) and ten painful deposits (27.0%). Relief from pain was excellent in four (11.4%), good in 29 (82.9%) and fair in two (5.7%) on discharge. Function was improved in all but one patient. One case of palsy of the radial nerve was noted. The mean postoperative survival was 7.1 months (0.2 to 45.5) which emphasises the poor prognosis in this group of patients. There were no failures of fixation and no case in which further surgery was required. Antegrade intramedullary nailing is an effective means of stabilising the humerus for the palliative treatment of metastases. It relieves pain and restores function to the upper limb with low attendant morbidity.

Original languageEnglish
Pages (from-to)142-145
Number of pages4
JournalJournal of Bone and Joint Surgery, British Volume
Volume92 B
Issue number1
DOIs
Publication statusPublished - Jan 2010

Keywords

  • adult
  • aged
  • aged, 80 and over
  • bone nails
  • bone neoplasms
  • female
  • fracture fixation, intramedullary
  • fracture healing
  • humans
  • humeral fractures
  • male
  • middle aged
  • pain
  • palliative care
  • paralysis
  • retrospective studies
  • survival analysis

Cite this

Spencer, S. J., Holt, G., Clarke, J. V., Mohammed, A., Leach, W. J., & Roberts, J. L. B. (2010). Locked intramedullary nailing of symptomatic metastases in the humerus. Journal of Bone and Joint Surgery, British Volume , 92 B(1), 142-145. https://doi.org/10.1302/0301-620X.92B1.22399