[成人肱骨骨骺开放性骨折的治疗效果:16例研究]。

Le Mali medical Pub Date : 2023-01-01
Hermann Victoire Feigoudozoui, Dogossou Parteina, Pierre Alfred Issa-Mapouka
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引用次数: 0

摘要

目的:评估我们对开放性肱骨轴骨折的不同治疗方法的初步效果:这是一项在阿比让(象牙海岸)进行的回顾性研究,历时 10 年,涉及 16 例开放性肱骨骨干骨折。其中包括 10 名男性和 6 名女性,平均年龄为 32.8 岁(极差:21 岁和 61 岁)。皮肤开口根据 Cauchoix 和 Duparc 进行分类。骨折的治疗方法有两种,一种是修剪骨折,然后使用肱骨-前肱骨石膏,另一种是使用螺钉固定板或外固定器。患者按照严格的方案接受随访。总体结果由斯图尔特和亨德利功能评分法进行评估:结果:在至少 24 个月的随访中,所有患者都得到了巩固。有一例局部感染,三例肘关节僵硬,四例可逆的桡神经麻痹。根据斯图尔特和亨德利评分,11 例患者的功能效果非常好,4 例患者的功能效果良好,1 例患者的功能效果一般,没有不良结果:结论:根据治疗适应症的不同,最初的临床和功能效果都令人满意。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Treatment Results Of Diaphyseal Humerus Open Fractures In Adult: Study Of 16 Cases].

Aim: To evaluate the initial results of our different treatments of open humeral shaft fractures.

Method: This was a retrospective study conductecd in Abidjan (Ivory Coast) over a period of 10 years, involving 16 open humeral shaft fractures. It included 10 men and six women with a mean age of 32.8 years (Extremes: 21 and 61). The skin opening was classified according to Cauchoix and Duparc. Fractures were either treated by trimming followed by a brachial-ante-brachial cast, or treated with a screwed plate or external fixator. Patients were followed according to a strict protocol. Overall results were assessed by Stewart and hundley functional scoring.

Results: At a minimum follow-up of 24 months, all patients had consolidated. There was one case of local infection, three cases of elbow stiffness and four reversible cases of radial nerve palsy. The functional results according to the Stewart and Hundley score were very good in 11 cases, good in four cases and fair in one case, with no poor result.

Conclusion: Depending on the therapeutic indications, the initial results are satisfactory both clinically and functionally.

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