Tratamento da pseudartrose diafisária do úmero com placa de compressão AO 3,5 mm e aparelho gessado toracobraquial

Tannura, Ana Raquel Hayashi; Oliveira, Décio José; Barros, José Wagner de

doi:10.1590/s1413-78522002000100001

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Transverse fracture pattern was the commonest type in humeral shaft nonunion as found by Olasinde et al and it was commoner in the middle 1/3 of the shaft as demonstrated by Ring et al [16]. The complications rate of 16% for plating and 14.3% for mailing recorded in the study ( noted that plating reduced the risk of shoulder problems (like impingements) in comparison to intra-medullary nails (p = 0.002) [11] [21] [22].…”

Section: Discussionmentioning

confidence: 70%

Early Treatment Outcome of Humeral Shaft Fracture Non-Union in Adults: Comparative Study of Plating versus Interlocking Nailing

Galadima,

Ajiboye,

Salihu

et al. 2024

Health

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Background: Fractures of humeral shaft in adults are common injuries. Humeral shafts non-union either from late presentation after initial treatment by traditional bone setters or failed non-operative orthodox care is a major problem in this part of the world. This non-union is a major treatment challenge with increased cost of care and morbidity in this part of the world. Humeral shaft non-union can be treated with locked intra-medullary nailing (LIMN) or dynamic compression plating (DCP). Study on comparison of these methods of fixation in this part of the world is scarce in literature search, hence the reason for this study. Objective: The objectives of this study are:(1) to compare early clinical outcome following fixation of humeral shaft fracture nonunion with DCP versus LIMN; (2) to compare the time of radiologic fracture union of DCP with LIMN; (3) to compare complications following fixation of humeral shaft fracture nonunion with DCP versus LIMN. Patients and Methods: This was a randomized control study done for 2 years in which fifty adult patients with humeral shaft non-union were recruited. The patients were grouped into 2 (P = DCP & N = LIMN). Forty five of the patients completed the follow up periods of the study and then analyzed. The P group had ORIF with DCP while the N group had ORIF with LIMN. Both groups had grafting with cancellous bones. Each patient was followed up for a period of 6 months at the time which radiographic union is expected. Any patient without clinical and/or radiographic evidence of union after six months of surgery was diagnosed as having recurrent non-union. The data generated was analyzed using SPSS Version 23. The results were presented in charts and tables. The paired t-test was used while considering p value < 0.05 as statisti-

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Section: Discussionmentioning

confidence: 70%

Early Treatment Outcome of Humeral Shaft Fracture Non-Union in Adults: Comparative Study of Plating versus Interlocking Nailing

Galadima,

Ajiboye,

Salihu

et al. 2024

Health

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“…The conservative ways included splinting, casting, bracing, and traction. Shoulder and elbow stiffness, nonunion, delayed union and malunion are highly remarked after conservative treatment of humeral mid-shaft fractures; however, many authors reported union rates of more than 90% 7 . Types of malunion include overlap and shortening, angulation, rotation and cross-union.…”

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confidence: 99%

Outcome of fixation for humeral mid-shaft fractures in adults by elastic nails on 40 patients postoperatively

Alany¹

2017

Adv.med.j.

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Background & objectives: Surgical intervention is increasingly used for treatment of humeral mid-shaft fractures nowadays. The aim of study was to identify the outcomes of titanium elastic nailing and exploring the relevance of carrying weight to these outcomes in adults. Methods: This study was a prospective follow up study conducted in Erbil teaching hospital in Erbil city from 1st of January, 2010 to 30th of November, 2013 on sample of 40 eligible injured patients who were non-randomly selected. The fractured patients were operated surgically using titanium elastic nails in both retrograde and ante grade ways. Postoperatively, carrying weight was used with follow up x-rays to check the union of bone. Results: Mean time to return to previous activity after elastic nail surgery was 15.7weeks and mean union duration of fractures after surgery was 12.2 weeks. The main adverse outcomes after surgery were shoulder pain (30%), shoulder stiffness (17.5%), supraspinatus pain (30%), superficial infection (27.5%), mal-union (7.5%), non-union (5%), delayed union (2.5%) and conversion to internal fixation (5%). Mal-union, non-union, delayed union and conversion to internal fixation were significantly prevalent among patients not carrying weight after surgery. Conclusions: titanium elastic nails represented the good treatment option for adulthood mid-shaft humeral fractures with promising outcomes of carrying weight postoperatively.

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Single versus double plate fixation of humeral shaft nonunion

Unal,

Katı,

Acar

et al. 2023

Arch Orthop Trauma Surg

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Tratamento da pseudartrose diafisária do úmero com placa de compressão AO 3,5 mm e aparelho gessado toracobraquial

Abstract: Foram avaliados 16 pacientes com pseudartrose diafisária de úmero submetidos ao tratamento cirúrgico, utilizando placa de compressão AO 3.5mm (DCP) e gesso toracobraquial. Com seguimento médio de 21 semanas obteve-se a consolidação óssea em 100% dos casos.

Cited by 3 publications

References 6 publications

Early Treatment Outcome of Humeral Shaft Fracture Non-Union in Adults: Comparative Study of Plating versus Interlocking Nailing

Early Treatment Outcome of Humeral Shaft Fracture Non-Union in Adults: Comparative Study of Plating versus Interlocking Nailing

Outcome of fixation for humeral mid-shaft fractures in adults by elastic nails on 40 patients postoperatively

Single versus double plate fixation of humeral shaft nonunion

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