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Pseudarthrosis of the humerus is a serious complication of humerus fractures, of particular interest to subjects young working people with pseudoarthrogenic risk factors (tobacco++). It represents a real problem therapeutic given the long period of treatment, its disabling socio-professional repercussions and the cost which resulting.
The aim of our work is to evaluate the anatomical and functional results of different surgical techniques. used.
The management of pseudarthrosis of the humerus remains a subject of controversy. Given our results, the investigators think that osteosynthesis by plate associated with bone grafting and/or decortication remains the most suitable for the treatment of aseptic pseudarthroses of the humeral shaft while treatment with Ilizarov is most appropriate in septic pseudarthrosis.
However, the best treatment for pseudarthrosis of the humerus remains that of treating the initial fracture. and better control of pseudoarthrogenic risk factors (tobacco++).
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| surgery | Other | SURGICAL TREATMENT OF PSEUDARTHROSIS OF THE HUMERUS |
| Measure | Description | Time Frame |
|---|---|---|
| Distribution of atrophic pseudarthrosis according to technique surgical procedure used (in Number of patients) | Surgical technique Screwed plate:5 Percutaneous pinning:12 | a minimum follow-up of 10 |
| Distribution of hypertrophic pseudarthrosis according to technique surgical procedure used (in Number of patients) | Surgical technique Screwed plate:4 Percutaneous pinning:9 | a minimum follow-up of 10 months |
| Time to consolidation depending on the type of pseudarthrosis (in months) | Atrophic Pseudarthrosis 4.4 months Pseudarthrosis Aseptic 5.28 months Hypertrophic Pseudarthrosis 5.8 months Septic Pseudarthrosis 4.6 months | a minimum follow-up of 10 months |
| Average Constant score postoperatively according to the means of restraint | Screwed plate(24) :74 External fixator(28) :64 Nailing centromedullary(1) :69 | a minimum follow-up of 10 months |
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Inclusion Criteria:
Exclusion Criteria:
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53 cases. of pseudarthrosis of the humeral shaft collected at the surgery department orthopedic and traumatology
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| ID | Term |
|---|---|
| D006810 | Humeral Fractures |
| D011542 | Pseudarthrosis |
| ID | Term |
|---|---|
| D001134 | Arm Injuries |
| D014947 | Wounds and Injuries |
| D050723 | Fractures, Bone |
| D005599 | Fractures, Ununited |
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| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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