Marchetti Vicenzi elastic retrograde nail in the treatment of humeral shaft fractures

review of the current literature

A. Ruffilli, F. Traina, F. Pilla, D. Fenga, C. Faldini

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Shoulder impairment following anterograde intramedullary nailing for humeral shaft fractures represents a challenging problem for the orthopedic surgeon. Traditional retrograde nailing lowers the rates of shoulder impairment although exposing the surgeons to severe technical issues related to the proximal interlocking. The Marchetti Vicenzi nail (MVN) permits a retrograde insertion along with a self-locking mechanism that lowers the risk of iatrogenic damage during proximal interlocking. Aim of this literature review was to evaluate all the case series dealing with MVN and the obtained results in terms of union rates, complications, and functional outcomes in order to evaluate evidence that would substantiate the adoption of MVN in the treatment of humeral shaft fractures. A search was performed using the keywords “humeral shaft fracture nail,” “humeral retrograde nail,” “humeral elastic nail,” “Marchetti Vicenzi nail,” “Marchetti nail,” “Vicenzi nail.” After accurate revision 13 articles found to be relevant with a total of 532 humeral fractures (traumatic and pathologic) and non-unions treated with MVN. The cumulative healing rate reported is 93.7 % with 6.3 % of non-unions. Despite the fact that obtained results compare favorably to the published data on the outcome of anterograde nailing, the evaluated studies presented a huge number of methodological flaws, thus making it difficult to recommend the adoption of MVN in preference of other better-validated forms of treatment.

Original languageEnglish
Pages (from-to)201-209
Number of pages9
JournalMusculoskeletal Surgery
Volume99
Issue number3
DOIs
Publication statusPublished - Dec 1 2015

Fingerprint

Humeral Fractures
Nails
Therapeutics
Intramedullary Fracture Fixation

Keywords

  • Elastic retrograde nail
  • Humeral shaft fractures
  • Review

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Marchetti Vicenzi elastic retrograde nail in the treatment of humeral shaft fractures : review of the current literature. / Ruffilli, A.; Traina, F.; Pilla, F.; Fenga, D.; Faldini, C.

In: Musculoskeletal Surgery, Vol. 99, No. 3, 01.12.2015, p. 201-209.

Research output: Contribution to journalArticle

@article{a972eda1018a4978b1a8306f95280a92,
title = "Marchetti Vicenzi elastic retrograde nail in the treatment of humeral shaft fractures: review of the current literature",
abstract = "Shoulder impairment following anterograde intramedullary nailing for humeral shaft fractures represents a challenging problem for the orthopedic surgeon. Traditional retrograde nailing lowers the rates of shoulder impairment although exposing the surgeons to severe technical issues related to the proximal interlocking. The Marchetti Vicenzi nail (MVN) permits a retrograde insertion along with a self-locking mechanism that lowers the risk of iatrogenic damage during proximal interlocking. Aim of this literature review was to evaluate all the case series dealing with MVN and the obtained results in terms of union rates, complications, and functional outcomes in order to evaluate evidence that would substantiate the adoption of MVN in the treatment of humeral shaft fractures. A search was performed using the keywords “humeral shaft fracture nail,” “humeral retrograde nail,” “humeral elastic nail,” “Marchetti Vicenzi nail,” “Marchetti nail,” “Vicenzi nail.” After accurate revision 13 articles found to be relevant with a total of 532 humeral fractures (traumatic and pathologic) and non-unions treated with MVN. The cumulative healing rate reported is 93.7 {\%} with 6.3 {\%} of non-unions. Despite the fact that obtained results compare favorably to the published data on the outcome of anterograde nailing, the evaluated studies presented a huge number of methodological flaws, thus making it difficult to recommend the adoption of MVN in preference of other better-validated forms of treatment.",
keywords = "Elastic retrograde nail, Humeral shaft fractures, Review",
author = "A. Ruffilli and F. Traina and F. Pilla and D. Fenga and C. Faldini",
year = "2015",
month = "12",
day = "1",
doi = "10.1007/s12306-015-0387-7",
language = "English",
volume = "99",
pages = "201--209",
journal = "Musculoskeletal Surgery",
issn = "2035-5106",
publisher = "Springer Verlag",
number = "3",

}

TY - JOUR

T1 - Marchetti Vicenzi elastic retrograde nail in the treatment of humeral shaft fractures

T2 - review of the current literature

AU - Ruffilli, A.

AU - Traina, F.

AU - Pilla, F.

AU - Fenga, D.

AU - Faldini, C.

PY - 2015/12/1

Y1 - 2015/12/1

N2 - Shoulder impairment following anterograde intramedullary nailing for humeral shaft fractures represents a challenging problem for the orthopedic surgeon. Traditional retrograde nailing lowers the rates of shoulder impairment although exposing the surgeons to severe technical issues related to the proximal interlocking. The Marchetti Vicenzi nail (MVN) permits a retrograde insertion along with a self-locking mechanism that lowers the risk of iatrogenic damage during proximal interlocking. Aim of this literature review was to evaluate all the case series dealing with MVN and the obtained results in terms of union rates, complications, and functional outcomes in order to evaluate evidence that would substantiate the adoption of MVN in the treatment of humeral shaft fractures. A search was performed using the keywords “humeral shaft fracture nail,” “humeral retrograde nail,” “humeral elastic nail,” “Marchetti Vicenzi nail,” “Marchetti nail,” “Vicenzi nail.” After accurate revision 13 articles found to be relevant with a total of 532 humeral fractures (traumatic and pathologic) and non-unions treated with MVN. The cumulative healing rate reported is 93.7 % with 6.3 % of non-unions. Despite the fact that obtained results compare favorably to the published data on the outcome of anterograde nailing, the evaluated studies presented a huge number of methodological flaws, thus making it difficult to recommend the adoption of MVN in preference of other better-validated forms of treatment.

AB - Shoulder impairment following anterograde intramedullary nailing for humeral shaft fractures represents a challenging problem for the orthopedic surgeon. Traditional retrograde nailing lowers the rates of shoulder impairment although exposing the surgeons to severe technical issues related to the proximal interlocking. The Marchetti Vicenzi nail (MVN) permits a retrograde insertion along with a self-locking mechanism that lowers the risk of iatrogenic damage during proximal interlocking. Aim of this literature review was to evaluate all the case series dealing with MVN and the obtained results in terms of union rates, complications, and functional outcomes in order to evaluate evidence that would substantiate the adoption of MVN in the treatment of humeral shaft fractures. A search was performed using the keywords “humeral shaft fracture nail,” “humeral retrograde nail,” “humeral elastic nail,” “Marchetti Vicenzi nail,” “Marchetti nail,” “Vicenzi nail.” After accurate revision 13 articles found to be relevant with a total of 532 humeral fractures (traumatic and pathologic) and non-unions treated with MVN. The cumulative healing rate reported is 93.7 % with 6.3 % of non-unions. Despite the fact that obtained results compare favorably to the published data on the outcome of anterograde nailing, the evaluated studies presented a huge number of methodological flaws, thus making it difficult to recommend the adoption of MVN in preference of other better-validated forms of treatment.

KW - Elastic retrograde nail

KW - Humeral shaft fractures

KW - Review

UR - http://www.scopus.com/inward/record.url?scp=84947427444&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84947427444&partnerID=8YFLogxK

U2 - 10.1007/s12306-015-0387-7

DO - 10.1007/s12306-015-0387-7

M3 - Article

VL - 99

SP - 201

EP - 209

JO - Musculoskeletal Surgery

JF - Musculoskeletal Surgery

SN - 2035-5106

IS - 3

ER -