Volume : VIII, Issue : X, October - 2018

OUTCOMES OF INTERNAL SYNTHESIS OF THE HUMERUS HEAD SPLIT FRACTURES IN YOUNG PATIENTS, A RANDOMISED STUDY

Dritan Todhe

Abstract :

Purpose: Humerus head split fracture is rare and the importance of correct diagnosis of the type of the fracture is crucial in order to achieve god result.

Method: a retrospective study of humerus head split fracture operated during 2014–2015 in Tirana Albania, classified according the severity of fracture and age.

Results . We have a series of 15 patients < 50 years, who underwent locking plate fixation. We noticed that in a mean of 34 months follow up, 12 of them had united. No osteonecrosis or nonunion was seen in simple fractures (5 patients). In complex fractures (10 patients), osteonecrosis was seen in 4 patients, nonunion in 2 patients, and glenohumeral arthritis in one patient. We concluded that complex fractures are associated with higher rates of nonunion, avascular necrosis and inferior shoulder function. We also considered the RSA in the failed cases

Conclusion : Although we prefer to consider internal fixation first, we suggest that RSA is to be considered in the first signs of failed, otherwise the postoperative fiosis will lead to bad functional results.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dritan Todhe, OUTCOMES OF INTERNAL SYNTHESIS OF THE HUMERUS HEAD SPLIT FRACTURES IN YOUNG PATIENTS, A RANDOMISED STUDY, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-10 | October-2018

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