Resultados preliminares da osteossíntese com haste de Ender, por meio da técnica percutânea nas fraturas diafisárias do úmero nos adultos

ObjectiveThe objective of this study is to analyze the surgical results of humeral shaft fracture treatment and describe its epidemiology.MethodsRetrospective study that identified all patients treated with surgical fixation of humeral shaft fractures between December of 2014 and June of 2016 in a trauma reference center. All medical records were reviewed in search of epidemiological data referent to the trauma and post-operative results, including radiographic healing of the fracture and related complications.ResultsFifty-one patients were included, mostly male (78.4%), with an average age of 35.02 years. The most common trauma mechanism was a traffic accident (56.9%) followed by same-level falls (17.6%). No statistically significant difference was found between healing time comparing surgical fixation techniques, including open reduction and internal fixation, minimally invasive technique, intramedullary nailing, and external fixation.ConclusionAlthough each technique has inherent advantages and disadvantages, all fixation methods proved to be adequate options for the surgical treatment of humeral shaft fractures with high rates of healing and low rates of post-operative complications.

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What should be the timing of surgical treatment of humeral shaft fractures?

Yigit¹

2020

Medicine

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This study aims to evaluate the timing of surgery in surgically treated humeral shaft fractures, to investigate the effects of surgical time on fracture recovery and complications. This was a retrospective and observational study, based on patient data who underwent surgical treatment of humeral shaft fractures from January 2012 to January 2019. There were 52 patients (19 were women and 33 men) with traumatic humeral shaft fractures who were treated consecutively at our hospital. There was a statistically significant difference in time to start physical therapy, time between surgery and bone union, and time between bone fracture and bone union. The mean time to start physical therapy in group 1 was 6.5 weeks (range, 5–12 weeks), it was 10 weeks (range, 6–14 weeks) in group 2 (P < .001). The mean time between surgery and bone union in group 1 was 14.58 weeks (range, 12–20 weeks), it was 17.4 weeks (range, 8–30 weeks) in group 2 (P: .009). The mean time between bone fracture and bone union in group 1 was 113.2 days (range, 86–114 days), it was 179.2 days (range, 89–355 days) in group 2 (P < .001). Classically the first treatment option for humerus shaft fractures is conservative if there is no absolute surgical indication. Surgical treatment may be the first option if patients want to return to early everyday life. Delayed surgery means delayed physical therapy and this means delayed recovery and return to everyday life. In today's technology world, it should be discussed that the initial treatment of uncomplicated humerus shaft fractures is a conservative treatment.

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Resultados preliminares da osteossíntese com haste de Ender, por meio da técnica percutânea nas fraturas diafisárias do úmero nos adultos

Abstract: r e v b r a s o r t o p . 2 0 1 5;5 0(4):383-388 w w w . r b o . o r g . b r Artigo originalResultados preliminares da osteossíntese com haste de Ender, por meio da técnica percutânea nas fraturas diafisárias do úmero nos adultos ଝ

Cited by 3 publications

References 14 publications

Avaliação das fraturas diafisárias do úmero tratadas cirurgicamente e comparação entre os métodos de fixação cirúrgica

Avaliação das fraturas diafisárias do úmero tratadas cirurgicamente e comparação entre os métodos de fixação cirúrgica

Evaluation of the surgical treatment of humeral shaft fractures and comparison between surgical fixation methods

What should be the timing of surgical treatment of humeral shaft fractures?

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