nlwxpearo
Joined: 13 Dec 2010
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Location: England
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 Posted: Sun 22:35, 13 Mar 2011 Post subject: Shaft 1 3 of articular fracture - functional brac |
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,[link widoczny dla zalogowanych]
Shaft 1 / 3 of articular fracture - functional bracing and plate fixation compared
ofthehumeraldiaphysiswereidenti-fledfromanorthopaedictraumadatabase. Fortypatientswerefollowedforatleastsixmonthsoruntilhealingofthefracture. Elevenpa-tientswereexcludedbecauseofinadequatefollow-up. Nineteenpatientshadbeenmanagedwithplate-and-screwfixation, andtwenty-onehadbeenmanagedwithfunctionalbracing. Results: Amongtheoperativelytreatedpatients,[link widoczny dla zalogowanych], onehadlossoffixation, onehadapostoperativeinfectionandonerequiredtendontrans-fersforthetreatmentofapreoperativeradialnervepalsythatdidnotresolve. Threenewpostoperativeradialnervepalsiesdeveloped,[link widoczny dla zalogowanych], andonehadnotresolvedwhenthepatientwaslastevaluated,[link widoczny dla zalogowanych], threemonthsaftersurgery. Alloperativelytreatedfractureshealedwith 30. ofmalalign-mentinanyplane. Twopatientshaddevelopmentofskinbreakdownduringtreatmentandcompletedtreatmentinasling. Twopatientslost ≥ 2oo0fe 】 boworsh0l11dernotionConclusions: Forextra-articulardistal-thirddiaphysealhumeralfractures. operativetreatmentachievesmorepredictablealignmentandpotentiallyquickerreturnoffunctionbutrisksiatrogenicnerveinjuryandinfectionandtheneedforreoperation. Functionalbracingcanbeassociatedwithskinproblemsandvaryingdegreesofangulardeformity,[link widoczny dla zalogowanych], butfunctionandrangeofmotionareusuallyexcellent. LevelofEvidence: TherapeuticLevelIl1. SeeInstructionstoAuthorsforacompletedescriptionoflevelsofevidence
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