التفاصيل البيبلوغرافية
| العنوان: |
A combined paratricipital and triceps-splitting approach for distal humeral metaphyseal-diaphyseal fractures in adults. |
| المؤلفون: |
Touloupakis, G., Messori, M., Gilli, A., Theodorakis, E., Ghirardelli, S., Indelli, P. F., Antonini, G. |
| المصدر: |
Clinica Terapeutica; Nov/Dec2021, Vol. 172 Issue 6, p552-558, 7p |
| مصطلحات موضوعية: |
DIAGNOSIS of bone fractures, HUMERUS, FRACTURE fixation, COHORT analysis, RADIOGRAPHIC processing |
| مستخلص: |
Background. Distal metaphyseal-diaphyseal fractures of the humerus can be challenging. The success lies in achieving a stable fixation that could allow early functional recovery. Our aim is to combine different approaches already reported, to obtain an ideal surgical strategy for treating these fracture patterns. Methods. In this retrospective study, we present the clinical outcome of a 12-patient cohort in which we used a combined paratricipital and triceps-splitting approach to the distal humerus. The mean age of the group was 50 years (range 17 - 88). Clinical and radiographic evaluation was performed at 1, 3, 6, and 12 months after surgery and thereafter, depending on the necessity of a further control. Patients' range of motion (ROM) of the elbow was reported, and functional outcome was assessed using the Mayo Elbow Performance Index (MEPI).The minimum follow-up was fixed at 12 months. Results. Union was achieved in all fractures. After a median follow-up of 15.7 months (range 12-21), none of the patients complained of any limitation in daily activities. The ROM at the last follow-up was complete in eight patients. Instead, three patients had ROM limitations, but none of them mentioned Limitations in the activities of daily living. We observed a single iatrogenic radial nerve palsy undergoing a full functional recovery at the final follow-up. No further complications occurred. Conclusion. We believe that the here presented modified approach could represent a solution that meets the modern demands for both robust fixation and early mobilization, with minimal soft tissues damage around distal humeral fractures. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
