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Evaluation of the surgical treatment of humeral shaft fractures and comparison between surgical fixation methods



Evaluation of the surgical treatment of humeral shaft fractures and comparison between surgical fixation methods



Revista Brasileira de Ortopedia 53(2): 136-141



The objective of this study is to analyze the surgical results of humeral shaft fracture treatment and describe its epidemiology. Retrospective study that identified all patients treated with surgical fixation of humeral shaft fractures between December of 2014 and June of 2016 in a trauma reference center. All medical records were reviewed in search of epidemiological data referent to the trauma and post-operative results, including radiographic healing of the fracture and related complications. Fifty-one patients were included, mostly male (78.4%), with an average age of 35.02 years. The most common trauma mechanism was a traffic accident (56.9%) followed by same-level falls (17.6%). No statistically significant difference was found between healing time comparing surgical fixation techniques, including open reduction and internal fixation, minimally invasive technique, intramedullary nailing, and external fixation. Although each technique has inherent advantages and disadvantages, all fixation methods proved to be adequate options for the surgical treatment of humeral shaft fractures with high rates of healing and low rates of post-operative complications. Descrever o perfil dos pacientes com fraturas diafisárias do úmero, bem como analisar os resultados das diferentes modalidades cirúrgicas. Estudo retrospectivo baseado na identificação de todos os casos de fraturas diafisárias de úmero submetidas a tratamento cirúrgico entre dezembro de 2014 e junho de 2016 em um serviço de referência em trauma, bem como na análise dos respectivos prontuários, e que buscou dados epidemiológicos referentes ao trauma e resultados pós-operatórios, inclusive tempo de consolidação e complicações relacionadas. Foram incluídos 51 pacientes, dos quais a maioria do sexo masculino (78,4%), com média de 35,02 anos. O mecanismo de trauma mais prevalente foram acidentes de trânsito (56,9%), seguidos de quedas de mesmo nível (17,6%). Não foi encontrada diferença significante entre o tempo de consolidação dos diferentes métodos, inclusive redução aberta e fixação interna com placa e parafusos, técnica minimamente invasiva com placa em ponte, haste intramedular e fixação externa. Todos os métodos cirúrgicos avaliados mostraram-se adequadas opções para o tratamento cirúrgico das fraturas da diáfise do úmero, ainda que tenham vantagens e desvantagens inerentes a cada técnica, com altas taxas de consolidação e poucas complicações relatadas.

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Accession: 063430100

Download citation: RISBibTeXText

PMID: 29911078

DOI: 10.1016/j.rboe.2017.03.015


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