Résultats préliminaires de l'enclouage rétrograde de l'humérus [Preliminary results of retrograde nailing of the humerus]

Details

Serval ID
serval:BIB_D2A48CED7B82
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Résultats préliminaires de l'enclouage rétrograde de l'humérus [Preliminary results of retrograde nailing of the humerus]
Journal
Swiss Surgery
Author(s)
Borens O., Mouhsine E., Chevalley F.
ISSN
0007-1323
1023-9332
Publication state
Published
Issued date
2001
Volume
7
Number
2
Pages
76-81
Language
french
Abstract
A group of nine patients with a diaphyseal fracture of the humerus and treated with retrograde nailing were studied with a mean follow-up of 15.3 months. Six patients with a humeral fracture without neurological deficit showed a good shoulder and elbow mobility at the last visit. Three patients with neurological lesion preoperatively suffer from a diminished range of movement not related to the surgical procedure. During the operation and postoperatively we found no complication related to the implant and more precisely we could not find a iatrogenic fracture or nervous lesion except one intraoperative lesion of the radial nerve probably related to an important traction movement during reduction with complete remission. Consolidation has been achieved for all fractures but one. This patient suffers from a lesion of the brachial plexus with complete plegia of the arm and a vascular lesion. This patient had to be reoperated for an atrophic non-union by bone grafting and plate fixation. The retrograde nail is a good implant and must be considered in our treatment plans as much as conservative treatment or surgical treatment with plating, anterograde nailing or the use of an external fixator. Only then will we be able to give to the patient the most adapted treatment for his fracture.
Keywords
Adult, Aged, Female, Follow-Up Studies, Fracture Fixation, Intramedullary, Fracture Healing/physiology, Humans, Humeral Fractures/radiography, Humeral Fractures/surgery, Male, Middle Aged, Postoperative Complications/radiography, Range of Motion, Articular/physiology, Treatment Outcome
Pubmed
Create date
24/01/2008 15:17
Last modification date
20/08/2019 15:52
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