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At least 1,099 records · Page 61Linked to original sources
PubMed1989

[Treatment of epicondylar fractures of the humerus in children].

On the basis of the follow-up of 120 children after epicondylar fracture of the humerus, the relation of the late result with the way of treatment, the number of attempts of reposition, the time from injury to reposition, and the position of fragments after reposition has been discussed. Better results were obtained after immediate reposition or treatment by traction than after surgical reposition varus deformity of the elbow is the most frequent complication of epicondylar fracture in children.

Child↗
PubMedDate not supplied

Supracondylar fractures of the humerus in children.

Thirty-five children were evaluated at a mean of 2 years, 3 months following treatment of supracondylar fractures of the humerus. Elbow motion, clinical carrying angle, and roentgenographic measurements including Baumann's angle, humeral-ulnar angle, and metaphyseal-diaphyseal angle were determined for both the normal and the involved extremities. The humeral-ulnar angle best correlated with the final clinical carrying angle, followed by Baumann's angle and the metaphyseal-diaphyseal angle. We recommend postreduction measurement of the humeral-ulnar angle in fractures that have been surgically stabilized and Baumann's angle in those fractures treated by cast immobilization alone to determine the adequacy of reduction.

Child↗
PubMed1989

[Treatment of diaphyseal fractures of the humerus and the leg bones].

In the period from 1983 to May, 1988 229 patients were treated at the 2nd traumatological department of the Podolsk Central Regional Hospital for fractures of the diaphyses of the humerus and leg bones. The method of shortened plaster casts and early function was used among other methods in the treatment of 48 patients. The method requires strict indications with due consideration for the degree of instability, shortens the time of hospital stay by 8-10 days and the period of general incapacity by 15-18 days, and allows the patient's residual working capacity to be put into action early.

Adult↗
PubMed1989

[Advantages of emergency percutaneous transcondylar osteosynthesis of supracondylar fractures of the humerus in children].

Based on our experience and on the experience of others in the treatment of such fractures, we have realized that every poorly executed manual reposition, inadequate and too long an immobilization, untimely and delayed operation, leaves serious consequences not only on physical activity but also on the psychologic development. Only a timely and correct indication for a surgical procedure along with saving as much of the tissue of the elbow joint as possible, optimal immobilization as well as the timely removal of the Kirschner-wires, represent conditions needed for the following successful treatment, rehabilitation and complete sanitation of the above fracture. The 2 cases described can serve as modest contributions and a stimulus for the further use of this method, which is closest to the declared demand for the resolution of the supracondylar fractures in children, with dislocation to the humerus.

Child↗
PubMed1989

[Indications for surgical management of humerus diaphyseal fractures and results].

Humerus fractures have continued to be associated with conservative and functional therapy. Indications for osteosynthesis may result either from failure of conservative treatment or from concomitant complications. Such cases are discussed in this paper. The patients with surgical treatment should not be considered as a group of "negative" selection, but osseous consolidation was accomplished in all of them. DC plate application has proved to be the optional method.

Adult↗
PubMedDate not supplied

Open reduction and internal fixation of displaced supracondylar fractures of the humerus.

The results of open reduction and internal fixation were analysed in 200 displaced supracondylar fractures of the humerus in children. Overall, excellent results were obtained in 65% of cases, good in 15% and unsatisfactory in 20%. Delay in surgery was found to lead to unsatisfactory results. The operation was performed within 48 hours of injury in 140 cases and gave an excellent result in 120 cases, whereas delayed surgery, in 60 cases, gave an excellent result in only 10 cases. Open reduction provides an accurate, stable reduction, is easy to perform and has been found to give consistently good results.

Adolescent↗
PubMed1989

Sports-related spontaneous fractures of the humerus.

An example of a spontaneous spiral fracture of the humerus in a healthy softball player is presented. This rare injury is discussed, addressing the mechanisms of injury, the treatment, and the types of sports in which this type of fracture has been reported to occur.

Adult↗
PubMed1987

[Temporary bore wire osteosynthesis in fractures of the head of the humerus].

In a series of 27 patients it is shown that percutaneous K-wiring in fractures of the head of the humerus can be regarded complementary to the conservative treatment. It can as well compete with open reduction and internal fixation by means of plate-or screw-osteosynthesis. The advantages of this method are as follows: simple procedure, quick operation, sufficient stability and easy removal of the implants particularly in elderly patients.

Aged↗
PubMed1989

Intraarticular fractures of the distal humerus. Surgical treatment and results.

In a 12-year period, 104 patients with intraarticular fractures of the distal humerus received surgical treatment. Based on the Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation (AO/ASIF) classification, there were 40 monocondylar fractures, 46 bicondylar fractures, and 18 fractures of the ulnar epicondyle with the fragment dislocated in the elbow joint. In children almost all fixations were done with Kirschner wires. The adult fractures were stabilized according to the recommendations of the AO/ASIF, i.e., monocondylar fractures by screws and/or single-plate fixation and bicondylar fractures by screws and dual-plate fixation, preferably with reconstruction plates. Comminuted fractures required an additional osteotomy of the olecranon. Except for children, the essential feature of postoperative management was early functional treatment by continuous passive motion. Eighty-eight patients (84.6%) were followed with an average follow-up time of 4.4 years. The results were evaluated for range of motion, pain, working capacity, neural and vascular impairment, valgus/varus deformity, and subjective judgment. The long-term outcome of almost 81% good and very good results suggests that operative treatment can be valuable when indications, anatomic surgical reconstruction, and postoperative care are performed correctly.

Adolescent↗
PubMed1988

Intercondyloid fractures of the humerus in the adult: surgical treatment and results.

The authors reviewed 14 cases of intercondyloid fracture of the humerus in the adult treated surgically between 1979 and 1989. After critically analysing the results, the surgical procedures, principal complications and their sequelae are discussed. They found a close relationship between the quality of the osteosynthesis and the quality of the results. However, despite the high percentage of favourable results, the authors emphasize the frequency of incomplete recovery of movement in the elbow joint.

Adult↗
PubMed1988

Fractures of the lower end of the humerus in the adult.

The authors report their experience in the treatment of 34 fractures of the lower end of the humerus treated surgically over the last 6 years. The fractures are divided into four types in assessing the functional results; open and closed; those involving and not involving the joint. Satisfactory clinical results were obtained in 22 of the 34 cases (64%). Complications were directly related either to the severity of the lesion (comminuted and open fractures) and/or inadequate surgical technique.

Adolescent↗
PubMed1988

Fractures of the humerus associated with paralysis of the radial nerve.

Forty-two cases of fracture of the humerus associated with paralysis of the radial nerve and treated over a period of 30 years were analysed. There was predilection for the mid-distal third, followed by the mid third and the supracondylar segment. Paralysis was complete in 39 cases and partial in 3. Treatment was conservative in 14 cases, early surgical in 18 (within 30 days), and late surgical in 10 (mean 4.7 months). The latter group involved cases where conservative treatment had not achieved recovery of neural function. Of the fractures treated conservatively, the diaphyseal fractures were slightly or moderately displaced, while supracondylar fractures were very displaced. Most of the fractures treated surgically were moderately or considerably displaced. Neurological recovery was satisfactory in 86% of the cases treated conservatively, in all those operated early, and in 50% of those operated late. The choice of treatment as between conservative or surgical must be on an individual basis, depending on the site and degree of displacement of the fracture, the extent of any exposure, and the degree of neurological deficit.

Adult↗
PubMed1988

Comminuted fractures of the proximal humerus.

Difficulty in fully defining the injury, patient characteristics, osteoporosis, technically difficult surgery, the need for carefully supervised physiotherapy, and the realization that a poor initial result is very difficult to reconstruct make the comminuted fracture of the proximal humerus a problem fracture. The literature on this fracture is also incomplete and confusing. The solutions are many and complex: use adequate roentgenograms to understand the traumatic lesion, be careful to avoid denying older patients effective surgical treatment, use a safe and simple surgical approach, know the options for internal fixation, recognize the values of prosthetic replacement, avoid technical pitfalls, and thoughtfully supervise the postoperative patient care.

Fracture Fixation, Internal↗
PubMed1988

Diaphyseal fractures of the humerus. Treatment with prefabricated braces.

Using a prefabricated brace, we treated 233 patients who had a fracture of the humeral shaft. One hundred and seventy patients were available for follow-up, which ranged from five weeks to forty-eight months. In these patients (forty-three open and 127 closed fractures), the average time to union was 10.6 weeks; the average varus-valgus angulation, 5 degrees; the average anterior-posterior angulation, 3 degrees; and the average shortening, as measured radiographically, four millimeters. All but three of the patients had an excellent or a good functional result with a nearly full range of motion of the extremity. There were a minimum of complications, including three non-unions. Because of the low morbidity and high rate of success, we concluded that the treatment of choice for diaphyseal fractures of the humerus is the prefabricated brace.

Adolescent↗
PubMed1988

Changes in the incidence of fracture of the upper end of the humerus during a 30-year period. A study of 2125 fractures.

The incidence of fracture of the upper end of the humerus by age group and sex was studied for a 32-year period from 1950 to 1982. The following numbers of humeral fractures occurred: 1950-1954, 411 fractures; 1961-1964, 552 fractures; 1971-1973, 639 fractures; and 1981-1982, 523 fractures. There was a progressive increase in the age-related incidence in older persons, especially in women. There was a higher incidence of fractures classified as severe in the 1980s compared with the 1950s.

Adolescent↗