Operative management of humeral nonunions. Factors that influence the outcome / Antonios KOUTALOS in Acta Orthopaedica Belgica, Vol. 81/3 (Septembre 2015)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.501-510 Titre : Operative management of humeral nonunions. Factors that influence the outcome Type de document : texte imprimé Auteurs : Antonios KOUTALOS, Auteur ; Sokratis Varitimidis, Auteur ; Zoe Dailiana, Auteur Année de publication : 2015 Article en page(s) : p.501-510 Langues : Anglais (eng) Mots-clés : Humeral nonunion  plate fixation  bone graft  infection  atrophic nonunion Résumé : The purpose of this study is to present the outcome of surgically treated humeral nonunions and find factors that affect the outcome. Fortytwo patients with humeral nonunions (30 shaft, 7 proximal and 5 distal) were reviewed in a prospective manner. Treatment was based on a specific algorithm. Demographics, time to union, range of motion, functional outcome and complications were recorded and analysed. Results: Mean follow-up was 78 months and mean time to union was 4.3 months. Infection was associated with delayed union of the pseudarthrosis, while range of motion was negatively affected by the location (proximal) and the AO type of the initial fracture. Complication rate was 17%. Conclusion: The surgical management of humeral nonunions yields a favourable outcome with reduced rate of complications. Infection prolonged healing time, while proximal location of the nonunion and the type B or C fracture according to AO/OTA classification adversely affected range of motion. Permalink : ./index.php?lvl=notice_display&id=40927 [article] Operative management of humeral nonunions. Factors that influence the outcome [texte imprimé] / Antonios KOUTALOS, Auteur ; Sokratis Varitimidis, Auteur ; Zoe Dailiana, Auteur . - 2015 . - p.501-510. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.501-510 Mots-clés : Humeral nonunion  plate fixation  bone graft  infection  atrophic nonunion Résumé : The purpose of this study is to present the outcome of surgically treated humeral nonunions and find factors that affect the outcome. Fortytwo patients with humeral nonunions (30 shaft, 7 proximal and 5 distal) were reviewed in a prospective manner. Treatment was based on a specific algorithm. Demographics, time to union, range of motion, functional outcome and complications were recorded and analysed. Results: Mean follow-up was 78 months and mean time to union was 4.3 months. Infection was associated with delayed union of the pseudarthrosis, while range of motion was negatively affected by the location (proximal) and the AO type of the initial fracture. Complication rate was 17%. Conclusion: The surgical management of humeral nonunions yields a favourable outcome with reduced rate of complications. Infection prolonged healing time, while proximal location of the nonunion and the type B or C fracture according to AO/OTA classification adversely affected range of motion. Permalink : ./index.php?lvl=notice_display&id=40927

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Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

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