Evaluation of results of non-united humerus shaft fractures treated with external fixator augmented by intramedullary rod and autogenous iliac crest bone graft
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2018, Vol 6, Issue 2
Abstract
Background: Humeral shaft fractures account for approximately 3 percent of all fractures and results in a significant burden to society from lost productivity and income. Management of humeral shaft fractures has historically been largely conservative. These days humeral shaft fractures are usually treated either by plating or by intramedullary nailing which sometimes results in non Union of these frctures. We planned the present study to evaluate the results of non-united humerus shaft fractures treated with external fixator augmented by intramedullary rod and autogenous iliac crest bone graft(ICBG) . Materials & methods: The present study included assessment of results of non-united humerus shaft fractures treated with external fixator augmented by intramedullary rod and autogenous iliac crest bone graft. A total of 20 patients were included in the present prospective study. All the patients underwent operative procedures for the treatment. The patients were allowed to use his/her arm and to do active exercises of all joints. Follow-up X-rays were obtained after very three weeks and then every month until radiographic bone healing and graft incorporation occurred. External fixator was removed after radiological healing of the fracture. All the results were evaluated by ULCA score. All the results were analyzed by SPSS software. Results: A total of 20 patients were included in the present study. The mean age of the patients was 40.15 years. Closed primary fracture occurred in 75% of the cases. Complications occurred in 40 percent of the cases. Satisfactory results were obtained in 85 percent of the patients at the time of final follow-up. Conclusion: The use of external fixation augmented by IM rods together with routine use of ICBG is viable option to treat humeral shaft non-union following failed implant surgery.
Authors and Affiliations
Basant Rai, Jaspal Singh, Bharat Singla, Dinesh Kumar, H. S. Sohal
Keywords
Related Articles
- EP ID EP503098
- DOI -
- Views 111
- Downloads 0
Comparative Analysis on Apical Microleakage in Root Canals Obturated with Gutta flow, Thermafil and Regular Guttapercha with Lateral Condensation – A Stereomicroscopic Study
Aims: The aim of this study was to evaluate and compare the apical microleakage of GuttaFlow in comparison with the Cold Lateral Condensation, and Thermafil obturation technique. Settings and Design: In-Vitro Material...
Analysis of Histo-Pathological Findings in Heart and Coronaries in Autopsy Viscera cases with alleged Sudden and Natural Cause of Death- A Retrospective Study
Introduction: Incidence of sudden cardiac death has been gradually increasing all over the world. Sometimes sudden deaths occur in older individual and generally under circumstances which arouse no suspicion. But such de...
Tobacco Use Among Young Students and its Influence on Role Models
Background: Smoking is a noteworthy general wellbeing, especially in youthful grown-ups between the ages of 18 and 25. The primary target of this examination is to discover the use of tobacco among Young Students and its...
Assessment of Hearing Loss among Diabetic Patients -A Clinical Study
Background: The pathologic changes that accompany diabetes could plausibly cause injury to the vasculature or the neural system of the inner ear resulting in sensorineural hearing impairment. Hence; we planned the presen...
Prognosis of Dental Implants in Diabetic Patients: A Clinical Study
Background: One of the major concerns to the society in the current scenario is the Rising population of diabetic individuals across the world. The persistent hyperglycemia may affect each and every tissue and consequent...