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«Acute shortening» and functional management of a grade 3B open humeral fracture using the Ilizarov method (case report)
- Authors: Fletcher M.D.1
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Affiliations:
- Dawson Creek and District Hospital Canada
- Issue: Vol 20, No 1 (2014)
- Pages: 110-112
- Section: Case Reports
- Submitted: 12.09.2016
- Published: 12.06.2014
- URL: https://journal.rniito.org/jour/article/view/52
- DOI: https://doi.org/10.21823/2311-2905-52
- ID: 52
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Abstract
External fixation is an alternative to rigid internal fixation in the management of significant open fractures of the humerus. Acute shortening to primarily deal with soft tissue defects is well-recognised in the management of tibial fractures. A case is described whereby a grade 3B open humerus fracture with significant soft tissue injury was managed to union by acute shortening and Ilizarov stabilisation, maximising functional recovery. The use of acute shortening in humeral fractures has not previously been described.
About the authors
M. D. Fletcher
Dawson Creek and District Hospital Canada
Author for correspondence.
Email: matt.fletcher@northernhealth.ca
Россия
References
- Aitken G.K., Rorabeck C.H. Distal humeral fractures in the adult. Clin. Orthop. Relat. Res. 1986; 207:191-197.
- Ring D., Jupiter J.B., Toh S. Salvage of contaminated fractures of the distal humerus with thin wire external fixation. Clin. Orthop. Relat. Res. 1999; 359:203-208.
- Yazar S., Lin C.H.,Wei F.C. One stage reconstruction of composite bone and soft-tissue defects in traumatic lower extremities. Plast. Reconstr. Surg. 2004;114(6):1457-1466.
- Ilizarov G.A. The treatment of fractures. In: Transosseous Osteosynthesis. Berlin: Springer-Verlag; 1992. p. 369-452.
- Mullen J.E., Rozbruck S.R., Blyakher A., Helfet G.L. Ilizarov method for wound closure and bony union of an open grade 3B tibia fracture. Case Rep. Clin. Pract. Rev. 2004; 5(1).
- Guyette T., Blyakher A., Rozbruch S.R. Ilizarov method for treatment of extraarticular distal humeral fractures. Tech. Shoulder Elbow Surg. 2002; 3(4):299-305.
- Komercu M., Yanmis I., Atesalp A.S., Gur E. Treatment results for open comminuted distal humerus intraarticular fractures with Ilizarov circular external fixator. Mil. Med. 2003; 168(9):694-697.
- Skaggs D.L., Hale J.M., Buggay S., Kay R.M. Use of a hybrid external fixator for a severelaty comminuted juxta-articular fracture of the distal humerus. J. Orthop. Trauma. 1998; 12(6): 439-442.
- Pullen C., Manzotti A., Catagni M.A., Guerreschi F. Treatment of post-traumatic humeral diaphyseal non-union with bone loss. J. Shoulder Elbow Surg. 2003; 12(5):436-441.
- Sales de Gauzy J., Vidal H., Cahuzac J.P. Primary shortening followed by callus distraction for the treatment of a posttraumatic bone defect: case report. J. Trauma 1993; 34(3):461-463.
- Solomin L.N. (ed.) The basic principles of external skeletal fixation using the Ilizarov and other devices. 2nd ed. GmbH; Springer-Verlag; 2012.
- Lammens J., Bauduin G., Driesen R., Moens P., Stuyck J., deSmet L., Fabry G. Treatment of non-union of the humerus using the Ilizarov external fixator. Clin. Orthop. Relat. Res. 1998; 353:223-230.
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