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KMID : 0361619930280010344
Journal of the Korean Orthopaedic Association
1993 Volume.28 No. 1 p.344 ~ p.351
Ilizarov Treatment for the Humerus Fracture



Abstract
It is well recognized that the lengthening of the lower limb has been performed successfully after the introduction of the Ilizarov treatment. Ilizarov tretments for humerus fractures have many advantages and could lead to good results, if cases
are to
be selected properly according to the indications. The fractures of the humerus shaft are generally treated nonoperatively and good results could be achieved by conservative treatment such as suger tong splint, functional brace, and hanging arm
cast.
Open reduction and internal fixation is indicated in such cases in which conservative treatments were filed, or bed rest is needed because of associated injury, or the Holstein-Lewis syndrome was developed. In some cases of the humerus shaft
fractures
and distal humerus fractures, many advantages could be considered by the Ilizarov treatment in comparison with the conservative treatment or open reduction and internal fixation. The following could be good indications for the Ilizarov treatment
:
If
the open reduction and internal fixation is indicated but the had skin andsoft tissue condition could not allow the open reduction and internal fixation, or if the comminutions of the fracture are too severe and extensive for open reduction and
internal
fixation, the Ilizarov treatment is a good method of treatment for such cases.
Authors performed Ilizarov treatment for 6 cases of the humerus fractures, and 1 cases of nonunion of humerus fracture from August, 1990 to April, 1991. We report our experiences and results.
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