Humerus Fracture
Conditions
Keywords
humerus, pseudarthrosis, screwed plate, external fixator
Brief summary
Pseudarthrosis of the humerus is a serious complication of humerus fractures, of particular interest to subjects young working people with pseudoarthrogenic risk factors (tobacco++). It represents a real problem therapeutic given the long period of treatment, its disabling socio-professional repercussions and the cost which resulting. The aim of our work is to evaluate the anatomical and functional results of different surgical techniques. used.
Detailed description
The management of pseudarthrosis of the humerus remains a subject of controversy. Given our results, the investigators think that osteosynthesis by plate associated with bone grafting and/or decortication remains the most suitable for the treatment of aseptic pseudarthroses of the humeral shaft while treatment with Ilizarov is most appropriate in septic pseudarthrosis. However, the best treatment for pseudarthrosis of the humerus remains that of treating the initial fracture. and better control of pseudoarthrogenic risk factors (tobacco++).
Interventions
OTHERsurgery
SURGICAL TREATMENT OF PSEUDARTHROSIS OF THE HUMERUS
Sponsors
Ibn Jazzar Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* \- Adult men and women > 18 years old with pseudarthrosis of the post-fractured humeral diaphysis treated in the orthopedic surgery and traumatology department.
Exclusion criteria
* \- Unusable files. * Patients lost to follow-up. * Patients who did not accept therapeutic treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Distribution of atrophic pseudarthrosis according to technique surgical procedure used (in Number of patients) | a minimum follow-up of 10 | Surgical technique Screwed plate:5 Percutaneous pinning:12 |
| Distribution of hypertrophic pseudarthrosis according to technique surgical procedure used (in Number of patients) | a minimum follow-up of 10 months | Surgical technique Screwed plate:4 Percutaneous pinning:9 |
| Time to consolidation depending on the type of pseudarthrosis (in months) | a minimum follow-up of 10 months | Atrophic Pseudarthrosis 4.4 months Pseudarthrosis Aseptic 5.28 months Hypertrophic Pseudarthrosis 5.8 months Septic Pseudarthrosis 4.6 months |
| Average Constant score postoperatively according to the means of restraint | a minimum follow-up of 10 months | Screwed plate(24) :74 External fixator(28) :64 Nailing centromedullary(1) :69 |
Outcome results
None listed