Abstract

ESCARPANTER BULIES, Julio César. Treatment of diaphyseal humerous fractures with mono-lateral external fixation. Rev Cubana Ortop Traumatol [online]. 2013, vol.27, n.1, pp. 33-43. ISSN 0864-215X.

Introduction: humerous fracture has always been difficult to treat both by bloodless form or surgery due to the anatomy of the region that makes its surgical access and an effective immobilization difficult. Objective: to present the advantages of the mono-lateral external fixation, to show and spread the results and encourage its use. Methods: 41 clinical records were studied and required data were collected, placing them in tables using a determined pattern. The results were divided into good, regular and bad. Results: in 9 open fractures and 9 of the 32 closed ones, there was an emergency treatment and the rest underwent deferred treatments. Among the problems, the one that predominated was the infection in the wire insertion site (58 %) As complications, a patient presented infected pseudoarthrosis, there were three malunions, two patients had radial paralysis (one by nervous lesion and the other due to neuropraxia caused by manipulation of the nerve) and a patient presented intolerance to the equipment. The treatment concluded with the initial behaviour in the 91.6 % of the cases and an average healing time of 13.2 weeks. The application of the mentioned pattern showed that the 75.6 % of patients had good results, the 12.2 % had regular results and the 12.2 % had results that were classified as bad. Conclusion: this therapy is very useful in the treatment of humerous factures and we can ascertain that its advantages far outweigh the disadvantages that can occur.

Keywords : humerous factures; open fractures; multiple trauma; mono-polar external fixation.

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