28-166

Fracturas diafisarias de húmero en adultos. Estudio retrospectivo de 53 casos

DIAPHYSEAL HUMERAL FRACTURES IN ADULTS. RETROSPECTIVE STUDY OF 53 CASES

M. NAVARRO AMOROS, J. F. MARTINEZ LOPEZ y A. GIMÉNEZ RONDA Servicio de Traumatología y Cirugía Ortopédica. Hospital «Marina Baixa». Villajoyosa (Alicante).
Recepción:
13/01/2009
Aceptación:
13/01/2009
Publicación:
13/01/2009


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Resumen (ES)

Fifty three adult patients with fracture of the humeral shaft were retrospectivelystudied. Orthopaedic-functional treatment was applied in 36 cases. Seventeen patients witheither multiple injuries or transverse middle-shaft fractures were surgically treated. The meanage of patients was 48 ± 21 years. Right side was most frecuently affected and casual fall wasthe predominated etiology. There were no differences regarding the average consolidation periodbetween fractures treated conservatively (60 ± 14 days) and those undergoing surgery (56 ± 12days). As complications, there were 7 monounions (4 conservative and 3 operative treatment).The mean age of patients with non-unions was higther than those with complete fracture consolidation.Radial nerve injury was seen in 8 cases. In all there patients, a complete functionalwere recovery was obtained with a mean average time of 38 ± 30 weeks. When evaluating functionalresults according to Gayet, satisfactory results were found in 80 per cent of patients withconservative treatment and 70 per cent of those surgically treated.

Palabras clave (ES):

Fractura
Diafisaria
Húmero
Diáfisis
Tratamiento

Resumen (EN)

Fifty three adult patients with fracture of the humeral shaft were retrospectivelystudied. Orthopaedic-functional treatment was applied in 36 cases. Seventeen patients witheither multiple injuries or transverse middle-shaft fractures were surgically treated. The meanage of patients was 48 ± 21 years. Right side was most frecuently affected and casual fall wasthe predominated etiology. There were no differences regarding the average consolidation periodbetween fractures treated conservatively (60 ± 14 days) and those undergoing surgery (56 ± 12days). As complications, there were 7 monounions (4 conservative and 3 operative treatment).The mean age of patients with non-unions was higther than those with complete fracture consolidation.Radial nerve injury was seen in 8 cases. In all there patients, a complete functionalwere recovery was obtained with a mean average time of 38 ± 30 weeks. When evaluating functionalresults according to Gayet, satisfactory results were found in 80 per cent of patients withconservative treatment and 70 per cent of those surgically treated.

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