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KMID : 0388419990080020107
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Konkuk Journal of Medical Sciences
1999 Volume.8 No. 2 p.107 ~ p.121
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Operative Treatment of the Distal Humeral Shaft Fracture
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Lee Sung-Tae
Kim Dong-Heon
Ahn Eui-Hwan
Chun Myung-Rock
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Abstract
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It has been generally agreed that most humeral shaft fractures can be treated nonoperatively with anticipated good results. Recently improved results have been reported after internal fixation of the humeral shaft fracture and followed by early motion of elbow and shoulder. Internal fixation of fractures of the distal portion of the humeral shaft is problematic. Authors carried out internal fixation with plate and screws in 32 patients between January 1993 and December 1997. We analyzed the operative results of the internal fixation of fractures of the distal humeral shaft which was follow-up from 10 months to 16 months.
The results were as follows :
1. Of the 32 cases, 21 cases(65.6%) were male and 11 cases(34.4%) were female.
2 Of the 32 cases, 18 cases(56.3%) were due to traffic accident, 7 cases(21.9%) fell down from a height and 5 cases(15.6%) slipped down.
3. According to AO/ASIF classification, type A(simple) were 13 cases(40.6%), type B(butterfly fragment) were 10 cases(31.3%) and type C(comminuted) were 9 cases(28.1%).
4. There were 9 cases(28.1%) of associated injuries; 2 cases were the fractures of the clavicle in ipsilateral, 2 cases were the fractures of the tibiafibula in ipsilateral and other 5 cases.
5. The complications such as limitation of elbow motion(4 cases), soft tissue infection(3 cases), delayed union(1 case), angulation(1 case) and iatrogenic radial nerve palsy(1 case) were developed. A functional range of motion in the shoulder were regained in all cases.
On the basis of these results, displaced fractures of the distal portion of the humeral shaft can be managed successfully via a internal fixation with plate and screws to the distal humerus.
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KEYWORD
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distal humeral shaft fracture, internal fixation with plate and screws
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