Aseptic Pseudoarthrosis of the Humeral Diaphysis. Epidemiological Features—Therapeutic Assessment
نویسندگان
چکیده
Objective: The aim of this work was to assess the epidemiological factors of the pseudoarthroses of diaphyseal humeral fractures in order to prevent them and also to assess the results of their treatment by screwed plate associated with an auto-graft. Material and method: This was a retrospective series of 36 aseptic pseudoarthroses of the humeral diaphysis treated by screwed plate, associated or not with a bone autograft between January 1997 and December 2016 at the Treichville University Hospital. The criteria of inclusion refer to the existence of an aseptic pseudoarthrosis of the humeral diaphysis treated by screwed plate. The approach was antero-external. Two thirds of pseudoarthroses were between the middle 1/3. 23 atrophic pseudoarthroses (65%) and 13 hypertrophic pseudoarthroses. Functional results were assessed using the Steward and Hundley criteria. Results: Mortality was zero, and postoperative complications were dominated by 4 hematomas and 2 transient iatrogenic paresthesias of the radial nerve. The sequelae were minor and the consolidation was acquired in 97.25% of patients. Conclusion: The treatment of aseptic pseudoarthroses of the humerus by screwed plate associated with an auto-graft is a reliable technique, inexpensive with a satisfactory functional outcome.
منابع مشابه
Aseptic Pseudoarthrosis of Olecranon: Epidemiological Features and Therapeutic Assessment
Introduction: Pseudoarthrosis is one of the most dreadful complications of olecranon fractures. It seriously compromises the function of the elbow. Objectives: To determine the epidemiological factors of this complication in order to prevent them and to assess the results of the therapeutic management. Material and method: This was a retrospective study that involved patients with olecranon pse...
متن کاملAssessment of the clinical outcome of IM rod fixation in the treatment of tibial congenital pseudoarthrosis
Abstract Background: Pseudoarthrosis of the tibia poses one of the most challenging treatment problems in all of orthopedics. The goal of the study was to assess the clinical outcome of intramedullary rod fixation in its treatment. Methods: The results of the management for nine patients with pseudoarthrosis of the tibia with IM rod fixation were reviewed retrospectively between 198...
متن کامل[Treatment of humeral shaft fractures using Hackethal's technique of intramedullary bundle nailing].
PURPOSE OF THE STUDY To inform on our experience with the treatment of humeral shaft fractures by intramedullary osteosynthesis using Hackethal's bundle nailing and to evaluate indications for the current use of this technique. MATERIAL AND METHODS From January 2001 to December 2009, a total of 184 patients with humeral shaft fractures were treated surgically and, of these, 147 by Hackethal's n...
متن کاملStudies in California Paleopathology : Ii . Comminuted Fracture of a Humerus with Pseudoarthrosis Formation
متن کامل
Minimal Invasive Approach to Proximal Humerus Fractures with Diaphysis Extension in Elderly
Surgical treatment of proximal humeral fractures with diaphysis extension continues to be a challenge especially in osteoporotic patients. Anatomic locking plates have been used with satisfactory results. The aim of this study was to
متن کامل