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Results for “Humeral Fractures”

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At least 307 records · Page 17Linked to original sources
PubMed1994

Late correction of malunited intercondylar humeral fractures. Intra-articular osteotomy and tricortical bone grafting.

We treated three patients with malunion after comminuted intercondylar fractures of the humerus by intra-articular derotational opening-wedge osteotomy and the insertion of a tricortical iliac bone graft. Two patients required additional operations, including interposition arthroplasty and hardware removal. A mean arc of increased motion of 65 degrees was achieved in flexion and extension in two patients and a more functional arc in the third. Although this is viewed as a salvage procedure in patients who are thought to be too young for elbow arthroplasty, none of the three patients has significant pain and none has required total elbow arthroplasty after an average follow-up of 7.6 years.

Adult↗
PubMed1994

Anterior exposure for open reduction of supracondylar humeral fractures in children: a forgotten approach?

OBJECTIVE: To describe the anterior approach for open reduction of supracondylar fractures in children and to assess the morbidity and functional outcome. DESIGN: Retrospective analysis. SETTING: University Hospital. SUBJECTS: Eleven consecutive children (mean age 6 years, range 4-12) with supracondylar fractures who were treated by open reduction and fixation with a Kirschner wire through an anterior approach from 1984-1990 and followed up after a mean of 9 weeks (range 5-16 weeks). RESULTS: There was no morbidity. Full functional recovery was achieved within four months of the accident. One patient had a mild (10 degrees) varus deformity with normal function of the elbow. CONCLUSION: Open reduction of supracondylar fractures and fixation with a Kirschner wire through an anterior approach is a logical, safe and elegant technique, which we recommend for children in whom closed reduction has failed.

Bone Wires↗
PubMed1993

[Stable interlocking intramedullary nailing of humeral fractures with the Seidel nail].

22 fractures of the humerus (15 traumatological, 7 pathological) were treated with the Seidel-Nail. The results after a follow-up between 4 and 20 months showed good mobility of the shoulder. As major complications two paresis of the radial nerve occurred. One disappeared spontaneously. The Seidel-Nail is a good implant for all kind of shaft fractures with an intact distal fragment of 5 cm and also for fractures of an intact humerus head.

Aged↗
PubMed1996

Supracondylar humeral fractures--a review of the outcome of treatment.

Fractures around the elbow are common injuries in children. We studied 77 children who had sustained supracondylar fractures around the elbow during the period 1989-1993. The aim of this study was to compare the outcomes of supracondylar fractures following 3 modes of treatment, namely manipulation and reduction, open reduction with internal fixation and percutaneous pinning. In our study, we have found that the most common cause for injury in supracondylar fractures was a fall on the outstretched hand. A possible reason would be that children usually try to break the force of a fall by extending their elbows. Treatment results in all 3 groups were satisfactory in this study. There were no vascular problems or Volkmann's contractures. For operative treatment, percutaneous pinning had the most consistent outcome in terms of restoration of function and cosmesis. Open reduction and internal fixation as a method of treatment had poor outcome for both function and cosmesis.

Adolescent↗
PubMed2003

Proximal humeral fractures: how stiff should an implant be? A comparative mechanical study with new implants in human specimens.

BACKGROUND: The objective of this study was to determine the in vitro characteristics of the clinically used and newly developed implants for the stabilization of proximal humeral fractures under static and cyclic loading. The goal was to optimize implant stiffness for fracture stabilization even in weak bone stock. METHODS: In a laboratory study using 35 fresh human humeri, the specimens were randomized into 5 groups, which included the clinically used humerus T-plate (HTP), the cross-screw osteosynthesis (CSO), the unreamed proximal humerus nail with spiral blade (UHN), the recently developed Synclaw Proximal Humerus Nail (Synclaw PHN) and the angle-stable Locking Compression Plate Proximal Humerus (LCP-PH). The implant stiffness was determined for three clinically relevant load cases: axial compression, torsion and varus bending. In addition, a cyclic varus-bending test was performed to determine the implant properties under cyclic loading. RESULTS: In contrast to a rather elastic and minimally invasive implant(LCP-PH), the conventionally designed ones (Synclaw PHN, CSO, HTP, UHN) showed rather high stiffness values under static loading. In cyclic loading, a strong decrease in stiffness ( p<0.05) was found for the rigid implants HTP and UHN. In comparison with the other implants, only the elastic implant (LCP-PH) showed a significantly lower load reduction in a weak bone stock (17+/-6.2%). CONCLUSION: The high initial stiffness of rigid implants led to an early loosening and failure of the implant-bone interface under cyclic loading. Implants with low stiffness and elastic characteristics, however, appear to minimize the peak stresses at the bone-implant interface, making them particularly suitable for fracture fixation in osteoporotic bone.

Adult↗
PubMedDate not supplied

Fixation of proximal humeral fractures with the Polarus nail.

Thirty patients with fractures of the proximal humerus were treated by internal fixation with an intramedullary locked nail. Fourteen of these patients were more than 60 years of age; 23 patients had 2-part fractures (surgical neck fractures) and were operated on within an average of 3 days after injury. At follow-up, 20 (80%) of 25 patients showed satisfactory to excellent functional outcomes, as measured by Constant score. All but 1 fracture progressed to clinical and radiologic union. The good functional results indicate that the Polarus nail is a satisfactory mechanical device that can be used in the treatment of displaced proximal humeral fractures in both the young and the elderly with osteopenic bone.

Adolescent↗