Abstract

Mouad Beqqali Hassani*, Dahmani Youness, Sekkach Nourdine, Moncef Boufettal, Bassir Reda Allah, Mohamed Kharmaz, Moulay Omar Lamrani, Ahmed Elbardouni, Mustapha Mahfoud and Mohamed Saleh Berrada

ABSTRACT

Fractures of the upper end of the humerus occupy the third fracture site in people over 65 years of age after the wrist and the upper end of the femur, preferentially affecting the osteoporotic elderly subject after a low energy trauma or more rarely the young subject after a high energy trauma. the Telegraph nail covers a wide range of applications for the treatment of simple and complex fractures of the upper extremity of the humerus allowing a rehabilitation protocol in the immediate intervention. It is a straight intramedullary nail made of stainless steel, 15 cm long, locked proximally and distally, the proximal locking is ensured by 4 cancellous screws, of long thread, the distal locking is ensured by one or two transverse screws at the level of the deltoid V. we report 27 observations of fracture of the upper extremity of the treated humerus Tee by short Telegraph nail collected between 2014 and 2017. The aim of our work is to analyze the radio-clinical results and assess the impact of this technique on the function of the shoulder. Osteosynthesis by Telegraph nail allows very effectively treat fractures of type 2 and 3 but also fractures impacted in valgus with 4 fragments, it is an effective and reproducible solution valid even for complex fractures of the proximal humerus and allows rapid recovery of mobility of the shoulder.