34-199
Estudio comparativo del tratamiento quirúrgico de las fracturas diafisarias de húmero mediante enclavado endomedular de Hackethal y placa atornillada.
Comparative study of intrameclular Hackethal technique and compression plate in the treatment of humeral shaft fractures
MC. BLASCO MOLLÁ, MF. MINGUEZ REY, MJ. SANGÜESA NEBOT, J. FERNÁNDEZ GALLART, F. GOMAR SANCHO. SERVICIO DE TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA. HOSPITAL CLÍNICO UNIVERSITARIO DE VALENCIA. DEPARTAMENTO DE CIRUGÍA. UNIVERSIDAD DE VALENCIA.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
A total of 160 humeral shaft fractures surgically treated
were retrospectively assessed. Surgical technique was performed
by means of two different methods: compression plate
and closed intramedullary nailing. Fractures were grouped following
AO criteria. Outcome assessment was carried out analyzing
complications rate and time period for fracture healing according
to type and level of the fracture. No instances of infections were
observed. Fractures treated with flexible intramedullary nailing
showed an average time period of healing lower than those treated
with compression plate (3.9 and 4 months respectively).
However this difference was increased and reversed in the more
complex fractures (type C fractures) being 4.1 months for plating
technique and 4.9 months for intramedullary nailing. Regarding
complication rate, 9.7% of pseudoarthrosis and worse functional
outcome were found with intramedullary nailing. There were no
cases of pseudoarthrosis with plating technique.
were retrospectively assessed. Surgical technique was performed
by means of two different methods: compression plate
and closed intramedullary nailing. Fractures were grouped following
AO criteria. Outcome assessment was carried out analyzing
complications rate and time period for fracture healing according
to type and level of the fracture. No instances of infections were
observed. Fractures treated with flexible intramedullary nailing
showed an average time period of healing lower than those treated
with compression plate (3.9 and 4 months respectively).
However this difference was increased and reversed in the more
complex fractures (type C fractures) being 4.1 months for plating
technique and 4.9 months for intramedullary nailing. Regarding
complication rate, 9.7% of pseudoarthrosis and worse functional
outcome were found with intramedullary nailing. There were no
cases of pseudoarthrosis with plating technique.
Palabras clave (ES):
Intramedular
Endomedular
Haz
Hackethal
Enclavado
Placa
Tratamiento
Humeral
Diáfisis
Diafisaria
Fractura
Húmero
Resumen (EN)
A total of 160 humeral shaft fractures surgically treated
were retrospectively assessed. Surgical technique was performed
by means of two different methods: compression plate
and closed intramedullary nailing. Fractures were grouped following
AO criteria. Outcome assessment was carried out analyzing
complications rate and time period for fracture healing according
to type and level of the fracture. No instances of infections were
observed. Fractures treated with flexible intramedullary nailing
showed an average time period of healing lower than those treated
with compression plate (3.9 and 4 months respectively).
However this difference was increased and reversed in the more
complex fractures (type C fractures) being 4.1 months for plating
technique and 4.9 months for intramedullary nailing. Regarding
complication rate, 9.7% of pseudoarthrosis and worse functional
outcome were found with intramedullary nailing. There were no
cases of pseudoarthrosis with plating technique.
were retrospectively assessed. Surgical technique was performed
by means of two different methods: compression plate
and closed intramedullary nailing. Fractures were grouped following
AO criteria. Outcome assessment was carried out analyzing
complications rate and time period for fracture healing according
to type and level of the fracture. No instances of infections were
observed. Fractures treated with flexible intramedullary nailing
showed an average time period of healing lower than those treated
with compression plate (3.9 and 4 months respectively).
However this difference was increased and reversed in the more
complex fractures (type C fractures) being 4.1 months for plating
technique and 4.9 months for intramedullary nailing. Regarding
complication rate, 9.7% of pseudoarthrosis and worse functional
outcome were found with intramedullary nailing. There were no
cases of pseudoarthrosis with plating technique.
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