Axial external fixator in humerus shaft fractures
Abstract views: 122
/ 
PDF downloads: 128
DOI:
https://doi.org/10.26900/hsq.1927Keywords:
Humerus, fracture, axial fixator, fixationAbstract
The causes of humeral shaft fractures are mostly high-energy traumas such as falling, hitting, traffic accident, and gunshot wounds. It may also occur as a result of simple falls due to osteoporosis in elderly patients. In surgical treatment, there are options such as intramedullary nail, plate-screw fixation and external fixator treatment. External Fixator Treatment it is the primary treatment option for soft tissue damage, open fractures, gunshot wounds, segmental bone loss, pseudoarthrosis, nonunion, and major vascular injuries. The purpose of the present study was to present the functional results of Axial External Fixator Treatment, which we often apply in humerus shaft fractures in our clinic. A total of 30 patients, who had gunshot wounds, multisystem injuries, open fractures, and advanced age comorbid problems, and who underwent Axial External Fixator Treatment due to humerus shaft fracture between January 2016 and January 2019 were included in the study. Disabilities of the Arm, Shoulder, and Hand (DASH) scores were used in clinical evaluations. Visual Analogue Scale (VAS) was used to evaluate the pain intensity in patients subjectively. Also, the results of patients with advanced age comorbid problems were compared with other patients. After a 12-month follow-up, significant improvements were detected in DASH scores. Although fracture union was later in patients with advanced age comorbid problems than in other patients, no differences were detected between union rates, clinical outcomes, and the surgical processes.We think that it is a more appropriate surgical technique than other surgical methods, due to its shorter surgical time and less invasiveness in patients with advanced age, high comorbidity and multisystem damage.
Downloads
References
Körner D, Gonser CE, Bahrs C, Hemmann P. Change in paediatric upper extremity fracture incidences in German hospitals from 2002 to 2017: An epidemiological study. Arch Orthop Trauma Surg. 2020;140(7):887-94. doi: 10.1007/s00402-019-03321-5.
Schuetze K, Boehringer A, Cintean R, Gebhard F, Pankratz C, Richter PH, et al. Feasibility and radiological outcome of minimally ınvasive locked plating of proximal humeral fractures in geriatric patients. J Clin Med. 2022;11(22):6751. doi: 10.3390/jcm11226751.
Mattila H, Keskitalo T, Simons T, Ibounig T, Rämö L. Epidemiology of 936 humeral shaft fractures in a large finnish trauma center. J Shoulder Elbow Surg. 2023;32(5):206-15. doi: 10.1016/j.jse.2022.10.020.
Ritter V, Lin FC, Miller A, Ostrum RF. Fixation of humerus shaft fractures in polytrauma patients does not improve short-term outcomes. Injury. 2023;54(2):573-7. doi: 10.1016/j.injury.2022.11.060.
Bell JE, Leung BC, Spratt KF, Koval KJ, Weinstein JD, Goodman DC, et al. Trends and variation in incidence, surgical treatment, and repeat surgery of proximal humeral fractures in the elderly. J Bone Joint Surg Am. 2011;93(2):121-31. doi: 10.2106/JBJS.I.01505.
Ziran BH, Smith WR, Anglen JO, Tornetta P 3rd. External fixation: How to make it work. J Bone Joint Surg Am. 2007;89(7):1620-32. doi: 10.2106/JBJS.G.00425.
de Azevedo MC, de Azevedo GM, Hayashi AY, Dourado Nascimento PE. Treatment of posttraumatic humeral fractures and complications using the Osteoline® external fixator: A treatment option. Rev Bras Ortop. 2015;46(4):390-7. doi: 10.1016/S2255-4971(15)30250-0.
Chen L, Ma YP, Wang QF, Hu CT, Ni KY. Clinical effect of minimally invasive technique on the treatment of osteoporotic humeral shaft fractures in elderly patients with locking plates [in Chinese]. Zhongguo Gu Shang. 2018;31(12):1119-23. doi: 10.3969/j.issn.1003-0034.2018.12.009.
Biber R, Bail HJ, Geßlein M. HumerusschaftfrakturHumeral shaft fractures- [in German]. Unfallchirurg. 2018;121(9):747-58. doi: 10.1007/s00113-018-0533-4.
Ali E, Griffiths D, Obi N, Tytherleigh-Strong G, Van Rensburg L. Nonoperative treatment of humeral shaft fractures revisited. J Shoulder Elbow Surg. 2015;24(2):210-4. doi: 10.1016/j.jse.2014.05.009.
Tetsworth K, Hohmann E, Glatt V. Minimally invasive plate osteosynthesis of humeral shaft fractures: Current state of the art. J Am Acad Orthop Surg. 2018;26(18):652-61. doi: 10.5435/JAAOS-D-17-00238.
Niu X, Huang F, Cen S, Qin T, Wang R, Shang Z, et al. A biomechanical study on internal and external fixation devices for treatment of humeral shaft fracture [in Chinese]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2008;22(5):516-9.
Gonçalves FF, Dau L, Grassi CA, Palauro FR, Martins Neto AA, Pereira PCG. Evaluation of the surgical treatment of humeral shaft fractures and comparison between surgical fixation methods. Rev Bras Ortop. 2018;53(2):136-41. doi: 10.1016/j.rboe.2017.03.015.
Kumar D, Ghosh A, Jindal K, Berwal P, Sharma S, Dhillon M. Antegrade vs retrograde intramedullary nailing in humerus shaft fractures: A systematic review and meta-analysis. J Orthop. 2022;34:391-7. doi: 10.1016/j.jor.2022.10.003.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Holistence Publications
This work is licensed under a Creative Commons Attribution 4.0 International License.
When the article is accepted for publication in the HSQ authors transfer all copyright in the article to the Holistence Academy Ar-Ge Yazılım Yayıncılık Eğitim Danışmanlık ve Organizasyon Ticaret Ltd. Şti.The authors reserve all proprietary right other than copyright, such as patent rights.
Everyone who is listed as an author in this article should have made a substantial, direct, intellectual contribution to the work and should take public responsibility for it.
This paper contains works that have not previously published or not under consideration for publication in other journals.
