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

Détails

ID Serval
serval:BIB_D2A48CED7B82
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Résultats préliminaires de l'enclouage rétrograde de l'humérus [Preliminary results of retrograde nailing of the humerus]
Périodique
Swiss Surgery
Auteur(s)
Borens O., Mouhsine E., Chevalley F.
ISSN
0007-1323
1023-9332
Statut éditorial
Publié
Date de publication
2001
Volume
7
Numéro
2
Pages
76-81
Langue
français
Résumé
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.
Mots-clé
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
Création de la notice
24/01/2008 16:17
Dernière modification de la notice
20/08/2019 16:52
Données d'usage