Resumo

ALVAREZ LOPEZ, Alejandro  e  GARCIA LORENZO, Yenima. Surgical treatment of patients with diaphysary fracture of the humerus. AMC [online]. 2015, vol.19, n.2, pp.179-188. ISSN 1025-0255.

Background: generally speaking, fractures of the humeral diaphysis are treated in a conservative way, but there is a little percentage of patients that need surgical treatment based on very specific indications. Objective: to study in depth the necessary elements for the surgical treatment of patients with fracture of the humeral diaphysis. Methods: a bibliographic review of 400 articles published in Pubmed, Hinari and Medline by means of the reference management software Endnote, was made. Fifty references were selected for making the review, 47 of them were from the last five years and three books were included. Development: aspects related to the clinical and imaging diagnosis are discussed. Surgical indications according to Mckee criteria based on the indications of the fracture, on associated traumas and on own traumas of the patient, are tackled. Regarding the osteosynthesis methods, its indications step by step, as well as its advantages and disadvantages, are presented. Concerning the complications, the most important ones are described; the medical procedure is also described. An algorithm for patients with lesion of the radial nerve is proposed. Conclusions: the surgical treatment of patients with humeral diaphysis is based on very specific surgical indications. The osteosynthesis method to use depends on the advantages of each of them and on the conditions of the patient and the surgeon. In general, the results are favourable with a minimum of complications.

Palavras-chave : HUMERAL FRACTURES [therapy]; FRACTURE FIXATION, INTERNAL [methods]; DIAPHYSES [injuries]; SURGICAL PROCEDURES, OPERATIVE; REVIEW LITERATURE AS TOPIC.

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