Surgical Treamtment of Pseudarthrosis of the Humerus (Study of a Series of 53 Cases)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 53
- 主要终点
- Distribution of hypertrophic pseudarthrosis according to technique surgical procedure used (in Number of patients)
研究概览
简要总结
Pseudarthrosis of the humerus is a serious complication of humerus fractures, of particular interest to subjects young working people with pseudoarthrogenic risk factors (tobacco++). It represents a real problem therapeutic given the long period of treatment, its disabling socio-professional repercussions and the cost which resulting.
The aim of our work is to evaluate the anatomical and functional results of different surgical techniques. used.
详细描述
The management of pseudarthrosis of the humerus remains a subject of controversy. Given our results, the investigators think that osteosynthesis by plate associated with bone grafting and/or decortication remains the most suitable for the treatment of aseptic pseudarthroses of the humeral shaft while treatment with Ilizarov is most appropriate in septic pseudarthrosis.
However, the best treatment for pseudarthrosis of the humerus remains that of treating the initial fracture. and better control of pseudoarthrogenic risk factors (tobacco++).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •- Adult men and women > 18 years old with pseudarthrosis of the post-fractured humeral diaphysis treated in the orthopedic surgery and traumatology department.
排除标准
- •- Unusable files.
- •Patients lost to follow-up.
- •Patients who did not accept therapeutic treatment.
结局指标
主要结局
Distribution of hypertrophic pseudarthrosis according to technique surgical procedure used (in Number of patients)
时间窗: a minimum follow-up of 10 months
Surgical technique Screwed plate:4 Percutaneous pinning:9
Time to consolidation depending on the type of pseudarthrosis (in months)
时间窗: a minimum follow-up of 10 months
Atrophic Pseudarthrosis 4.4 months Pseudarthrosis Aseptic 5.28 months Hypertrophic Pseudarthrosis 5.8 months Septic Pseudarthrosis 4.6 months
Average Constant score postoperatively according to the means of restraint
时间窗: a minimum follow-up of 10 months
Screwed plate(24) :74 External fixator(28) :64 Nailing centromedullary(1) :69
Distribution of atrophic pseudarthrosis according to technique surgical procedure used (in Number of patients)
时间窗: a minimum follow-up of 10
Surgical technique Screwed plate:5 Percutaneous pinning:12
次要结局
未报告次要终点
研究者
Zied Mansi
Principal invastigator
Ibn Jazzar Hospital