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| [PMID]: | 29201304 |
| [Au] Autor: | Ko SH; Cha JR; Lee CC; Joo YT; Eom KS |
| [Ad] Endereço: | Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. |
| [Ti] Título: | Minimally Invasive Plate Osteosynthesis Using a Screw Compression Method for Treatment of Humeral Shaft Fractures. |
| [So] Source: | Clin Orthop Surg;9(4):506-513, 2017 Dec. | | [Is] ISSN: | 2005-4408 |
| [Cp] País de publicação: | Korea (South) |
| [La] Idioma: | eng |
| [Ab] Resumo: | Background: This study aims to compare the surgical outcomes of open reduction and internal fixation (ORIF) and minimally invasive plate osteosynthesis (MIPO) using a screw compression method in simple humeral shaft fractures. Methods: This retrospective study was performed with 50 patients who had surgical interventions for the treatment of simple humeral shaft fractures and had follow-ups of at least 12 months in Ulsan University Hospital between August 2008 and June 2015. Group 1 included 23 patients treated with ORIF and group 2 included 27 patients treated with the MIPO technique using a locking screw plate. The time to clinical/radiographic union, the joint range of motion (ROM), and function were evaluated. Results: The average time to clinical/radiographic bone union was shorter in group 2 (12.0 ± 3.7 weeks/14.8 ± 2.0 weeks in group 1 and 9.4 ± 1.3 weeks/12.0 ± 3.3 weeks in group 2; = 0.022/ = 0.034). Shoulder and elbow joint function evaluated by joint ROM and visual analogue scale (VAS), Korean Shoulder Elbow Society (KSS), American Shoulder and Elbow Surgeons (ASES), and the University of California at Los Angeles (UCLA) scores was excellent in both groups. On the average shoulder ROM at 12 months after the operation, group 1 had forward elevation of 160°, external rotation of 30° in adduction and lumbar vertebra 10 level in internal rotation and group 2 had forward elevation of 170°, external rotation of 35° in adduction and lumbar vertebra 9 level in internal rotation. The mean VAS, KSS, ASES, and UCLA scores were 2.8, 87.0 ± 0.9, 89.4 ± 0.9, and 31.0 ± 1.4, respectively, in group 1 and 1.7, 89.1 ± 2.7, 91.0 ± 1.6, and 32.4 ± 3.2, respectively, in group 2. There were statistically significant intergroup differences in VAS score ( = 0.011). There were significantly less postoperative infections in group 2 (three cases, 10.7% in group 1 and 0 case in group 2; = 0.041) although all of them were superficial infections and well-treated by an average 4-week course of antibiotics (range, 2 to 6 weeks). Conclusions: MIPO using a screw compression method in simple humeral shaft fractures demonstrated superior efficacy to ORIF in terms of the time to clinical/radiographic union, pain score, and postoperative infection rate. |
| [Mh] Termos MeSH primário: |
Fixação Interna de Fraturas/métodos
Fraturas do Úmero/cirurgia
Procedimentos Cirúrgicos Minimamente Invasivos/métodos
Redução Aberta
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| [Mh] Termos MeSH secundário: |
Adulto
Idoso
Placas Ósseas
Parafusos Ósseos
Diáfises/lesões
Diáfises/cirurgia
Articulação do Cotovelo/fisiopatologia
Feminino
Fixação Interna de Fraturas/instrumentação
Consolidação da Fratura
Seres Humanos
Fraturas do Úmero/diagnóstico por imagem
Masculino
Meia-Idade
Procedimentos Cirúrgicos Minimamente Invasivos/efeitos adversos
Redução Aberta/efeitos adversos
Radiografia
Amplitude de Movimento Articular
Estudos Retrospectivos
Rotação
Articulação do Ombro/fisiopatologia
Infecção da Ferida Cirúrgica/etiologia
Fatores de Tempo
Resultado do Tratamento
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| [Pt] Tipo de publicação: | COMPARATIVE STUDY; JOURNAL ARTICLE |
| [Em] Mês de entrada: | 1802 |
| [Cu] Atualização por classe: | 180207 |
[Lr] Data última revisão:
| 180207 |
| [Sb] Subgrupo de revista: | IM |
| [Da] Data de entrada para processamento: | 171205 |
| [St] Status: | MEDLINE |
| [do] DOI: | 10.4055/cios.2017.9.4.506 |
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