38-213
Tratamiento de las pseudoartrosis de la diáfisis humeral mediante fijación con placa e injerto óseo
Treatment of humeral shaft nonunions by plate fixation and bone graft
A. A. MARTÍNEZ MARTÍN, J. CUENCA ESPIÉRREZ, A. HERRERA RODRÍGUEZ, V. CANALES CORTÉS, J. MATEO AGUADO SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL UNIVERSITARIO MIGUEL SERVET. ZARAGOZA.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
Thirty patients with humeral shaft non-unions were
treated by open reduction and internal fixation with a dynamic
compression plate when the facture was located in the two
upper thirds of the humeral shaft, and with two reconstruction
plates when it was located in the distal third of the humeral
shaft. Bone graft was added in all patients. Union was achieved
in all cases. The mean healing time was 4,7 months (4-6).
The range of motion of the shoulder was excellent in 20
patients and moderate in 10. The range of motion of the elbow
was excellent in 21 patients and moderate in 9. The functional
results were excellent in 17 patients, good in 9, and fair in 4.
treated by open reduction and internal fixation with a dynamic
compression plate when the facture was located in the two
upper thirds of the humeral shaft, and with two reconstruction
plates when it was located in the distal third of the humeral
shaft. Bone graft was added in all patients. Union was achieved
in all cases. The mean healing time was 4,7 months (4-6).
The range of motion of the shoulder was excellent in 20
patients and moderate in 10. The range of motion of the elbow
was excellent in 21 patients and moderate in 9. The functional
results were excellent in 17 patients, good in 9, and fair in 4.
Palabras clave (ES):
Seudoartrosis
Tratamiento
quirúrgico
Diáfisis
Humeral
Placa
Injerto
Húmero
Resumen (EN)
Thirty patients with humeral shaft non-unions were
treated by open reduction and internal fixation with a dynamic
compression plate when the facture was located in the two
upper thirds of the humeral shaft, and with two reconstruction
plates when it was located in the distal third of the humeral
shaft. Bone graft was added in all patients. Union was achieved
in all cases. The mean healing time was 4,7 months (4-6).
The range of motion of the shoulder was excellent in 20
patients and moderate in 10. The range of motion of the elbow
was excellent in 21 patients and moderate in 9. The functional
results were excellent in 17 patients, good in 9, and fair in 4.
treated by open reduction and internal fixation with a dynamic
compression plate when the facture was located in the two
upper thirds of the humeral shaft, and with two reconstruction
plates when it was located in the distal third of the humeral
shaft. Bone graft was added in all patients. Union was achieved
in all cases. The mean healing time was 4,7 months (4-6).
The range of motion of the shoulder was excellent in 20
patients and moderate in 10. The range of motion of the elbow
was excellent in 21 patients and moderate in 9. The functional
results were excellent in 17 patients, good in 9, and fair in 4.
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