29-170
Fracturas de húmero complicadas con lesión arterial
HUMERAL FRACTURES COMPLICATED WITH ARTERIAL INJURY
P. HERNANDEZ CORTES, R. ANTELO L ORENZO, M. PEREGRINA PALOMARES, M. A. HERNANDEZ HERNANDEZ y F. A C O S T A GONZALEZ Servicio de Cirugía Ortopédica y Traumatología. Hospital Universitario de Granada.
Recepción:
12/01/2009
Aceptación:
12/01/2009
Publicación:
12/01/2009
Métricas
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Resumen (ES)
A serie of 10 patients with a fracture of the humerus and associated arterial injurytreated from January 1990 to October 1993 is reported. The serie was divided in 3groups acording the proximal, mid shaft or supracondylar location of the fracture. Clinical resultsindicate a poor prognosis of proximal and mid shaft fractures related to their etiology, associatedinjuries and damage of the colateral vessels. The management of these complexinjuries require an interdisciplinar approach. External fixation is an usefull stabilitation methodfor fractures associated with vascular damage. The utility of a temporary intraluminar vascularshunt to perfuse the limb at the bone surgery and preoperative arteriography are discussed.
Palabras clave (ES):
Diafisaria
Diáfisis
arterial
Lesión
Complicación
Fractura
Humero
Resumen (EN)
A serie of 10 patients with a fracture of the humerus and associated arterial injurytreated from January 1990 to October 1993 is reported. The serie was divided in 3groups acording the proximal, mid shaft or supracondylar location of the fracture. Clinical resultsindicate a poor prognosis of proximal and mid shaft fractures related to their etiology, associatedinjuries and damage of the colateral vessels. The management of these complexinjuries require an interdisciplinar approach. External fixation is an usefull stabilitation methodfor fractures associated with vascular damage. The utility of a temporary intraluminar vascularshunt to perfuse the limb at the bone surgery and preoperative arteriography are discussed.
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