THE TREATMENT OF EXTRA- AND INTRA-ARTICULAR FRACTURES THE DISTAL HUMERUS
- 作者: Klyuchevsky V.V.1, Ben El Hafi H.1
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隶属关系:
- Ярославская государственная медицинская академия
- 期: 卷 16, 编号 3 (2010)
- 页面: 96-102
- 栏目: Experience exchange
- ##submission.dateSubmitted##: 21.11.2016
- ##submission.dateAccepted##: 21.11.2016
- ##submission.datePublished##: 19.11.2010
- URL: https://journal.rniito.org/jour/article/view/573
- DOI: https://doi.org/10.21823/2311-2905-2010-0-3-144-151
- ID: 573
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From 2005 to 2009 we treated 112 patients with fractures of distal segment of the humerus, 83 (74,10%) of them were injured when falling from the height of its own growth, 8 (7,14%) - in an accident, 6 (5,35%) - a fall from a height, 13 (11,6%) - in sports, and two - as a result of violent acts. In 97 (87%) cases the fractures were closed, in 15 (13%) - open. 19 patients were treated conservatively and 93 - operatively. Functional results were evaluated using the Mayo elbow performance score (MEPS) in 78,37% of patients. Results of the conservative method: excellent and good - 46,66%, and in all patients with type A without displacement - in 100%. The fair results - in 33% and the poor in 20% - with type В and C. The results of operative treatment: excellent and good - 90,41%, the fair results - in 9,58%, no poor results. Initial prevent the oedema and bleeding into joints and soft tissues, adequate rigid fixation of fractures with the maximal restoration of the elbow joint congruent without additional immobilization and early active mobilization is essential to prevent the elbow stiffness and achieve a good outcomes.
作者简介
V. Klyuchevsky
Ярославская государственная медицинская академия
Email: fake@neicon.ru
д.м.н., профессор, заведующий кафедрой травматологии, ортопедии и ВПХ 俄罗斯联邦
Hassan Ben El Hafi
Ярославская государственная медицинская академия
编辑信件的主要联系方式.
Email: htraumato@yahoo.fr
очный аспирант кафедры травматологии, ортопедии и ВПХ 俄罗斯联邦
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