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KMID : 1036220160190040223
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Clinics in Shoulder and Elbow
2016 Volume.19 No. 4 p.223 ~ p.228
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An Anterior Approach to Entire Length of Humerus and to Distal Shaft for Fracture Fixation
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Lee Chul-Hyung
Choi Hyun
Kim Tae-In
Kim Jun-Beom
Shin Sang-Yeop
Rhee Seung-Koo
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Abstract
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Background: The aim of study was to confirm the clinical effectiveness and results of wide and single anterior approach for frac tures occurring along length of humerus.
Methods: A total of 23 patients with humeral fracture were enrolled into our study who were able to participate in at least one year of follow-up. Seven patients had segmental comminuted humeral fractures and 16 patients had distal humeral fractures. We made various tractions of the muscles to expose the proximal and the middle third humerus between the biceps and brachialis and the distal humerus by partial splitting of lateral side of biceps through a single inci sion. Postoperatively, we mea sured the Mayo elbow performance index (MEPI).
Results: we achieved bone union in all 23 patients. Solid union of the bone was achieved at an aver age 13.9 weeks. Postoperatively, two complications were observed screw loosening and nonunion. Revision surgery was performed in both patients. The patient with bone nonunion was treated using bone grafts. No postoperative infections or peripheral neuropathies were observed. At the final follow-up (average 20 months), we found that the average MEPI functional score of the patients was 91.7 points regardless of the fracture site.
Conclusions: Our whole humerus with a single incision was effective for the treatment of seg mental comminuted and distal fractures. we believe it is a useful alternative to preexisting methods of fracture fixation.
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KEYWORD
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Humerus, Humeral shaft fractures
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