Could external fixator become the ideal choice for the treatment of humeral shaft fracture

doi:10.3969/j.issn.2095-4344.2013.17.022

Abstract

Abstract:

BACKGROUND: The treatment of humeral fractures remains many disputes, the incidence of radial nerve damage and fracture nonunion is still high, so how to treat complex humeral fracture is a headache problem for doctors.
OBJECTIVE: To explore the reliability of external fixator for the treatment of humeral shaft fractures.
METHODS: Ten cases of humeral shaft fractures were treated by external fixator. And the fractures were all closed and caused by trauma. According to the AO classification, there were two cases of type A, three cases of type B and five cases of type C. Under anesthesia, the patients were treated with closed reduction or small incision reduction, and were fixed by external fixation. The anteroposterior X-ray films of humerus were taken at 1, 4, 8, 12, 20 and 24 weeks and 1 year after treatment for the observation of fracture alignment and fracture healing. The shoulder and elbow joint function was evaluated with Constant score and Mayo score.
RESULTS AND CONCLUSION: All patients were followed-up for 12 months. All the fractures were healed and the average healing time was 16.1 weeks (ranged from 12-24 weeks after external fixation). Radial nerve injury symptoms occurred in one case and completely recovered after 12 weeks after the operation. The Constant score of the shoulder joint function was 77.3; the elbow joint function recovered well with the Mayo score of 81.8. External fixator is the ideal choice for various humeral shaft fractures.

Key words: bone and joint implants, clinical practice of bone and joint, humeral shaft, fractures, external fixator, external fixation, shoulder joint, elbow joint, Constant score, Mayo score, fracture healing, X-ray

CLC Number:

R318

Ai Jin-wei, Han Ye-ping, Li Pei, Cao Yu-jing, Zhang Jian-fu. Could external fixator become the ideal choice for the treatment of humeral shaft fracture[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(17): 3208-3215.

Figures/Tables 5

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