Treatment of diaphysial fractures of humerus. An observational study

  • Ángela María Merchán Galvis Universidad del Cauca
  • Alexander Molina Empresa Social del Estado, Popayán, Cauca
  • Cristian Camilo Molina Hospital Universitario San José. Popayán, Cauca
  • Juan Manuel Concha Universidad del Cauca
Keywords: Fractures, bones, Humeral fractures, Diaphyses, Treatment

Abstract

Introduction: The humeral shaft fractures represent about 3% of all fractures, may be accompanied by important neurovascular injuries and greatly affect the functionality of the patients who suffer them. Objective: To describe the characteristics of patients with fracture of the humeral shaft and the treatments applied in the University Hospital San José de Popayán, Colombia. Methods: An observational, cross-sectional study, in the period 2006-2010, in patients older than 18 years admitted to the emergency department. Results: There was a sample of 60 patients, mostly men (68.3%), with an average age of 42 years. The main cause of the trauma was traffic accidents (36.7%). The lesions were type A (63.3%) and were located mainly in the middle third (58.3%). The most of patients were treated surgically (85%) and among the complications recorded, the limitation to movement (30.8%) was highlighted. A statistically significant association was found between age and the mechanism of the trauma (p=0.018). Conclusion: One fifth of patients treated surgically presented complications, so it is considered necessary to develop studies that allow objectifying the choice of one therapy or another in the search of the greatest benefit for patients.

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References

Muller M. The comprehensive classification of fractures of long bones. Man Intern Fixat. 1991;118-49.

Court-Brown C, Heckman JD, McKee M, McQueen MM, Ricci W, Tornetta P. Rockwood and Green’s fractures in adults. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2010.

Demirel M, Turhan E, Dereboy F, Ozturk A. Interlocking nailing of humeral shaft fractures a retrospective study of 114 patients. Indian J Med Sci. 2005;59(10):436-42.

García Juárez JD, Aguilera Zepeda JM, Encalada Díaz MI, Lozano Reyes S, Vidales HP. Uso del clavo centromedular de Russell Taylor en fracturas diafisarias de húmero. Acta Ortopédica Mex. 2006;20(6):262-5.

Reboso Morales LE, Álvarez Alcover H, Valdés García D, Aguirre-Jaime A. Revisión epidemiológica de fracturas diafisarias de húmero en el adulto. Estudio retrospectivo. Rev Esp Cir Ortopédica Traumatol. 2001;45(1):10-6.

Masson MV. Fundamentos de Tratamiento en las fracturas de la diáfisis humeral con y sin lesiones del nervio radial. Ortho-Tips. 2012;8(1):26-36.

Tytherleigh-Strong G, Walls N, McQueen MM. The epidemiology of humeral shaft fractures. J Bone Jt Surg Br. 1998;80(2):249-53.

Pidhorz L. Acute and chronic humeral shaft fractures in adults. Orthop Traumatol Surg Res. 2015;101(1):S41-9.

Agnew SP, Dumanian GA. Technical use of synthetic conduits for nerve repair. J Hand Surg. 2010;35(5):838-41.

Boschi V, Pogorelic Z, Gulan G, Vilovic K, Stalekar H, Bilan K, et al. Subbrachial approach to humeral shaft fractures: new surgical technique and retrospective case series study. Can J Surg. 2013;56(1):27-34.

Lee H-J, Oh C-W, Oh J-K, Apivatthakakul T, Kim J-W, Yoon J-P, et al. Minimally invasive plate osteosynthesis for humeral shaft fracture: a reproducible technique with the assistance of an external fixator. Arch Orthop Trauma Surg. 2013;133(5):649-57.

Stedtfeld HW, Biber R. Proximal third humeral shaft fractures—A fracture entity not fully characterized by conventional AO classification. Injury. 2014;45:S54-9.

Hak DJ. Radial nerve palsy associated with humeral shaft fractures. Orthopedics. 2009;32(2):111.

Crenshaw A. Cirugía Ortopédica: Fracturas de la cintura escapular, brazo y antebrazo. Octava edición. Vol. 1. Campbel; 1993. 944-57.

Ekholm R, Ponzer S, Törnkvist H, Adami J, Tidermark J. The Holstein-Lewis humeral shaft fracture: aspects of radial nerve injury, primary treatment, and outcome. J Orthop Trauma. 2008;22(10):693-7.

Numbela BXO, Aceves LHV, González AB, Castro CT. Placa helicoidal aplicada en fracturas diafisarias de húmero por cirugía de mínima invasión (MIS). Resultados de un año de seguimiento en 7 casos. Acta Ortopédica Mex. 2007;21(5):239-46.

Rüedi TP, Buckley RE, Moran CG. AO principles of fracture management. Second expanded edition. THIEME and AO Publishing, Davos; 2007.

Algarín Reyes JA, Bello González A, Pérez Calzadilla M, Flores-Girón J. Tratamiento de las fracturas diafisarias del tercio distal de húmero en la Cruz Roja Mexicana Polanco. Acta Ortopédica Mex. 2011;25(5):264-72.

Escarpanter Buliés JC. Tratamiento de las fracturas diafisarias del húmero con fijación externa ósea monolateral. Rev Cuba Ortop Traumatol. 2013;27(1):33-43.

Fonseca-Gómez R, Montoya-Obando J. Manejo funcional de las fracturas de la diáfisis humeral. Rev Médica Los Postgrados Med. 2006;9(1):40-6.

Reyes Reyes CJ, Valencia Chamorro MP, García González LA. Osteosíntesis de la diáfisis del húmero con placas: serie de casos. Rev Colomb Ortop Traumatol. 2005;19(4):27-33.

Guzmán-Guevara J, López-Cázares G, Barragán-Hervella RG, Villegas-Rosas JSA, Alvarado-Ortega I, Montiel-Jarquína ÁJ. Evaluación de los pacientes con fracturas diafisiarias de húmero tratadas con placa DCP frente a clavo centro medular UHN. Rev Med Inst Mex Seguro Soc. 2016;54(Supl 3):S270-4.

Navarro Amorós M, Martínez López JF, Giménez Ronda A. Fracturas diafisarias de húmero en adultos: estudio retrospectivo de 53 casos. Rev Esp Cir Osteoartic. 1993;28(166):219-23.

Martínez Martín A, Herrera Rodríguez A, Cuenca Espiérrez J. Epidemiología de las fracturas diafisiarias de húmero. Mapfre Med. 2001;12(4):261-5.

Rupenian PR. Osteosíntesis mínimamente invasiva con placa en fracturas diafisarias de húmero. Rev Asoc Argent Ortop Traumatol. 2013;78(2):53-63.

Zamora Rodríguez JM, Modrego Aranda FJ, Seral García B, Seral Iñigo F. Tratamiento de las fracturas diafisarias de húmero mediante osteosíntesis con placa. Rev Esp Cir Osteoartic. 2002;37(212):173-7.

Álvarez López A, García Lorenzo Y. Tratamiento quirúrgico de pacientes con fractura diafisaria del húmero. Arch Méd Camagüey. 2015;19(2):179-8.

How to Cite
(1)
Merchán Galvis, Ángela M.; Molina, A.; Molina, C. C.; Concha, J. M. Treatment of Diaphysial Fractures of Humerus. An Observational Study. Rev. Fac. Cienc. Salud Univ. Cauca 2018, 20, 18-23.
Published
2018-01-01
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