Management of proximal humeral fractures by the Ilizarov external fixator.

Abstract:

INTRODUCTION:External fixation can be performed in poor bone and soft tissue conditions, and can be used in patients with poor general conditions or multiple injuries as a rapid, mini-invasive procedure. The purpose of the current study was to evaluate the effectiveness and safety of the Ilizarov external fixator in the management of proximal humeral fractures. MATERIALS AND METHODS:Between May 2011 and December 2013, 14 patients with displaced proximal humeral fractures were enrolled in the current study. Nine patients were males and five were females, with mean age 42.9 years (range 21-55). All fractures were acute. The mode of injury was road traffic accident in eight patients and fall in six patients. There were six patients with two-part fracture, one of them with fracture dislocation, and eight patients presented with three-part fracture, two of them with fracture dislocation. All fractures were fixed using the Ilizarov external fixation. RESULTS:The average operative time was about 67 min (range 50-90). The mean follow-up period was (18) months (range 12-28). Healing was obtained in all 14 patients in a mean of 10.4 weeks (range 8-14). At the final follow-up, the mean constant score was 73.1 points (range 60-97 points), the mean visual analog score (VAS) for pain 3.2 (range 1-5), the mean DASH score 31.8 points (range 10-55 points), and the mean satisfaction VAS 7.6 (range 4-10). CONCLUSION:The Ilizarov external fixation is an effective technique in managing proximal humeral fractures with good outcome and low complication rates. LEVEL OF EVIDENCE:Level IV, case series.

authors

Meselhy MA,Singer MS

doi

10.1007/s00402-017-2749-0

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

1279-1284

issue

9

eissn

0936-8051

issn

1434-3916

pii

10.1007/s00402-017-2749-0

journal_volume

137

pub_type

杂志文章
  • The longer pull-out suture as a transmission suture for early active motion of repaired flexor tendon at the proximal zone-2.

    abstract:OBJECTIVES:The purpose of the current study was to clinically evaluate the technique of longer pull-out suture as a transmission suture for early active motion after flexor tendon repair in the proximal zone-2. METHOD:Eleven patients (eight adult male, two adult female and one child) with 19 proximal zone II flexor te...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-010-1238-5

    authors: Okçesiz IE,Ege A,Turhan E,Songür M,Bayar A,Keser S

    更新日期:2011-04-01 00:00:00

  • A new criterion for assessing Ilizarov treatment outcomes in nonunion of the tibia.

    abstract:INTRODUCTION:The purpose of this study was to assess a population of patients with nonunion of the tibia treated with the Ilizarov method in terms of achieved union rates and maintained union rates, determination of re-fracture factors, with a subsequent comparison of our findings with those reported in the available l...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-020-03571-8

    authors: Szelerski Ł,Pajchert Kozłowska A,Żarek S,Górski R,Mochocki K,Dejnek M,Urbański W,Reichert P,Morasiewicz P

    更新日期:2020-08-10 00:00:00

  • A new guide system for posteromedial portal in arthroscopic knee surgery.

    abstract::A view through the posteromedial portal is necessary to observe the posterior portion of the knee joint such as the tibial attachment of the posterior cruciate ligament (PCL) or the posterior horn of the medial meniscus, which is barely, visible through anterior portals. Especially in arthroscopic PCL reconstruction, ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s004020050304

    authors: Ochi M,Adachi N,Sumen Y,Uchio Y,Iwasa J

    更新日期:1998-01-01 00:00:00

  • Ganglion cysts of the proximal tibiofibular joint review of literature with three case reports.

    abstract::Proximal tibiofibular ganglion is a rare disorder. It may settle down in the subcutaneous tissue or may develop along the peroneal muscles and nerve. Common clinical findings are various sizes of mass, pain and hypoesthesis due to compression neuropathy. We report three cases of proximal tibiofibular ganglion and revi...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s00402-005-0084-3

    authors: Vatansever A,Bal E,Okcu G

    更新日期:2006-11-01 00:00:00

  • Cementation in the treatment of giant cell tumor of bone.

    abstract::This study was designed to review the clinical experience of cementation in the treatment of giant cell tumor of bone and to clarify its biologic basis. Eleven patients treated by this technique had results rated excellent. No recurrences of the tumor were found. Serious complications, including infection, late fractu...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00420253

    authors: Komiya S,Inoue A

    更新日期:1993-01-01 00:00:00

  • Rupture of flexor tendons due to pisotriquetral osteoarthritis.

    abstract::We are reporting a case of a flexor profundus tendon rupture of the little finger due to pisotriquetral osteoarthrosis. Resection of the pisiform bone and resurfacing of the carpal tunnel with the joint capsule was performed for the osteoarthrosis and free tendon grafting for the tendon rupture. The tendon grafting an...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00390059

    authors: Saitoh S,Kitagawa E,Hosaka M

    更新日期:1997-01-01 00:00:00

  • Anterior reconstructive spinal surgery with Zielke instrumentation for metastatic malignancies of the spine.

    abstract::From March 1984 to April 1996, 60 consecutive patients with spinal metastasis underwent palliative surgery by anterior corpectomy and Zielke instrumentation. Their ages ranged from 21 to 76 years (mean 54 years). Thirty-two patients had metastasis to the thoracic spine, 20 to the lumbar spine, and 8 had both thoracic ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/pl00021238

    authors: Chen LH,Chen WJ,Niu CC,Shih CH

    更新日期:2000-01-01 00:00:00

  • Surgical treatment is better than non-surgical treatment for primary patellar dislocation: a meta-analysis of randomized controlled trials.

    abstract:BACKGROUND:At present, the best treatment for primary patellar dislocation (PPD) has not been unified. Moreover, meta-analyses comparing the non-surgical and surgical treatments of PPD are lacking. Thus, we aimed to compare the clinical efficacy of surgical or non-surgical treatment of PPD. METHODS:Randomized controll...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00402-019-03308-2

    authors: Fu Z,Zhu Z,Chen H,Zhang S

    更新日期:2020-02-01 00:00:00

  • Resection arthroplasty: middle- and long-term results.

    abstract::Conclusions on results after resection arthroplasty were made by analyzing patient records with regard to completed questionnaires. Sixty-four patients were followed up for 2.1-15.9 years postoperatively. The indications for explanation were septic or aseptic loosening with extensive bony destruction. The average age ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00932314

    authors: Herzog T,Link W,Engel S,Beck H

    更新日期:1989-01-01 00:00:00

  • Ununited ipsilateral femoral neck and shaft fractures: treatment of 16 patients.

    abstract:INTRODUCTION:Ununited ipsilateral femoral neck and shaft fractures are very rare, and their treatment is very complicated. Until now, no single treatment method has been recommended in the literature. MATERIALS AND METHODS:Eighteen patients sustained femoral shaft fractures, which were treated with reamed intramedulla...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-003-0609-6

    authors: Wu CC

    更新日期:2004-04-01 00:00:00

  • Laser engravings as reason for mechanical failure of titanium-alloyed total hip stems.

    abstract:INTRODUCTION:Two revisions of broken β-titanium total hip stems had to be performed in our hospital after 2 and 4 years in situ. Since both fractures were located at the level of a laser engraving, a failure analysis was conducted. MATERIALS AND METHODS:Both retrieved hip stems were disinfected and collected in our re...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-015-2225-7

    authors: Kluess D,Steinhauser E,Joseph M,Koch U,Ellenrieder M,Mittelmeier W,Bader R

    更新日期:2015-07-01 00:00:00

  • Acetabular supporting ring in total hip replacement.

    abstract::A series of 14 total hip arthroplasties with a Müller acetabular supporting ring including 3 primary and 11 revision arthroplasties is reviewed. This device was used in cases of acetabular bone deficiency, and bone graft was added in 11 cases. The mean length of follow-up was 39.9 months. Twelve patients had good or s...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00393718

    authors: Panski A,Tauber C

    更新日期:1997-01-01 00:00:00

  • A novel remaining tendon preserving repair technique leads to improved outcomes in special rotator cuff tear patterns.

    abstract:INTRODUCTION:The purpose of this study was to identify the tear pattern that could be anatomically repaired by preserving the remaining tendon on footprint and evaluate clinical outcomes of patients who underwent remaining tendon preserving cuff repair. MATERIALS AND METHODS:Of 523 patients with full-thickness rotator...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-2956-3

    authors: Jeon YS,Kim RG,Shin SJ

    更新日期:2018-08-01 00:00:00

  • Beneficial and limiting factors for return to work following anterior cruciate ligament reconstruction: a retrospective cohort study.

    abstract:PURPOSE:Evidence-based advice for return to work (RTW) after anterior cruciate ligament (ACL) reconstruction is not available. Therefore, the objectives of this study were to determine when patients achieve full RTW, and to explore the beneficial and limiting factors for fully RTW after ACL reconstruction. METHODS:A r...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-016-2594-6

    authors: Groot JA,Jonkers FJ,Kievit AJ,Kuijer PP,Hoozemans MJ

    更新日期:2017-02-01 00:00:00

  • Remodeling of the spine in spondylodiscitis of children at the age of 3 years or younger.

    abstract::Spondylitis/spondylodiscitis is still an uncommon diagnosis often with a delay in diagnosis and treatment due to the uncharacteristic symptoms. The aim of this study is to increase the awareness and outline a pattern of investigation and treatment. We present six children with an average age of 23 months (19-33 months...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-007-0316-9

    authors: Waizy H,Heckel M,Seller K,Schroten H,Wild A

    更新日期:2007-08-01 00:00:00

  • Two cases of closed dislocation of the interphalangeal joint of the thumb.

    abstract::Dorsal dislocation of the interphalangeal (IP) joint of the thumb is a rare injury, and closed dislocation without fracture is especially unusual. We present here two cases of closed dislocation of the thumb which were reduced by manipulation. ...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00434563

    authors: Nakae H,Endo S,Hoshi S

    更新日期:1996-01-01 00:00:00

  • The effect of high and low pressure pulsatile lavage on soft tissue and cortical blood flow: a canine segmental humerus fracture model.

    abstract:OBJECTIVE:To determine the effect of high pressure pulsatile lavage (HPPL) and low pressure pulsatile lavage (LPPL) on cortical and soft tissue blood flow in a canine humerus segmental fracture model. DESIGN:Midshaft humeral osteotomies to create a 2-cm segment of diaphyseal bone were performed on bilateral canine hum...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-007-0417-5

    authors: Di Pasquale DJ,Bhandari M,Tov A,Schemitsch EH

    更新日期:2007-12-01 00:00:00

  • Prevalence of posttraumatic arthritis following distal radius fractures in non-osteoporotic patients and the association with radiological measurements, clinician and patient-reported outcomes.

    abstract:INTRODUCTION:Outcomes of non-osteoporotic patients who sustained a distal radius fracture (DRF) have not gained much attention in recent literature. The aims of this study were to determine the prevalence of posttraumatic arthritis (PA), to analyze associations of radiological measurements, clinician-reported and patie...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-018-3046-2

    authors: Lameijer CM,Ten Duis HJ,Vroling D,Hartlief MT,El Moumni M,van der Sluis CK

    更新日期:2018-12-01 00:00:00

  • Iliotibial band autograft: what size is the graft? A mathematical and cadaveric model : ITB single and double strand size.

    abstract:BACKGROUND:The iliotibial band (ITB) is used in anterior cruciate ligament (ACL) reconstruction in skeletally immature patients as well as several other orthopedic reconstructions. The purpose of this study is to determine the size of the ITB as an autograft option in ACL reconstruction surgery or other orthopedic soft...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-019-03208-5

    authors: Beck JJ,Takamura K,Beck JM,Chang G,Bowen RE

    更新日期:2020-01-01 00:00:00

  • Outcome after severe brain trauma associated with epidural hematoma.

    abstract:OBJECTIVE:The aim of this study was to identify factors contributing to outcomes after severe traumatic brain injury (TBI) associated with epidural hematoma (EDH). METHODS:Between 02/2002 and 4/2010 17 Austrian centers prospectively enrolled 863 patients with moderate and severe TBI into observational studies. Data on...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-012-1652-y

    authors: Leitgeb J,Mauritz W,Brazinova A,Majdan M,Wilbacher I

    更新日期:2013-02-01 00:00:00

  • Tibial tubercle osteotomy in revision total knee arthroplasty.

    abstract::In revision total knee arthroplasty, osteotomy of the tibial tubercle provided satisfactory exposure to extract the broken tibial metal tray with rigidly fixed stem easily and safely. Three patients (three knees) underwent this osteotomy and were followed for a minimum of 2 years (range 2 years and 2 months to 2 years...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00433999

    authors: Maruyama M

    更新日期:1997-01-01 00:00:00

  • Clinical and radiological follow-up of single-level Prestige LP cervical disc replacement.

    abstract:OBJECTIVE:To evaluate the clinical outcomes and radiographic results of patients who underwent single-level cervical arthroplasty using the Prestige LP. METHOD:Thirty-one patients with single-level cervical disc disease received the Prestige LP disc replacement from June 2008 to December 2009. The neck disability inde...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-013-1689-6

    authors: Chen F,Yang J,Ni B,Guo Q,Lu X,Xie N

    更新日期:2013-04-01 00:00:00

  • Radiographic factors predicting non-union of displaced intracapsular femoral neck fractures.

    abstract::After 82 patients underwent osteosynthesis with multiple pinning for a displaced intracapsular femoral neck fracture, 58 fractures were united, and 24 were not. These 82 patients were included in a discriminant analysis. Union and non-union groups were the dependent variables. Eleven presumably predictive factors meas...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/BF00444259

    authors: Saito N,Miyasaka T,Toriumi H

    更新日期:1995-01-01 00:00:00

  • Subcutaneous emphysema and pneumomediastinum following shoulder arthroscopy with brachial plexus block: a case report and review of the literature.

    abstract::A number of complications are associated with shoulder arthroscopic surgery. However rare, respiratory complications such as pneumomediastinum and related tension pneumothorax as well as spontaneous pneumothorax in patients undergoing shoulder arthroscopy by endotracheal intubation have been reported in the literature...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-008-0593-y

    authors: Calvisi V,Lupparelli S,Rossetti S

    更新日期:2009-03-01 00:00:00

  • Transosseous capsuloplasty improves the outcomes of Lindgren-Turan distal metatarsal osteotomy in moderate to severe hallux valgus deformity.

    abstract:INTRODUCTION:Lindgren-Turan osteotomy used in hallux valgus deformity is a subcapital, transverse displacement osteotomy of the first metatarsal without any additional capsular repair. The aims of this study are to describe a transosseous capsuloplasty technique in this procedure and evaluate whether capsuloplasty woul...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-009-0986-6

    authors: Ozkan NK,Güven M,Akman B,Cakar M,Konal A,Turhan Y

    更新日期:2010-10-01 00:00:00

  • Neglected rupture of the patellar tendon.

    abstract::Neglected rupture of the patellar tendon is a rare but well recognised complication of knee trauma. We present the case of a 43-year-old man who sustained a complete rupture of the patellar tendon of his left knee following a fall. Clinical diagnosis was delayed by 2 months and was confirmed by magnetic resonance imag...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s004020050401

    authors: Shepard GJ,Christodoulou L,Hegab AI

    更新日期:1999-01-01 00:00:00

  • Comparison of the short-term functional results after surface replacement and total shoulder arthroplasty for osteoarthritis of the shoulder: a matched-pair analysis.

    abstract:INTRODUCTION AND PURPOSE:The purpose of this clinical study with a matched-pair design was to compare the functional short-term results obtained in patients with primary osteoarthritis of the shoulder treated with cementless surface replacement of the humeral head (CUP) with those obtained after total shoulder replacem...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-007-0404-x

    authors: Buchner M,Eschbach N,Loew M

    更新日期:2008-04-01 00:00:00

  • High incidence of tunnel widening after anterior cruciate ligament reconstruction with transtibial femoral tunnel placement.

    abstract:BACKGROUND:This study evaluated the incidence, amount, morphology and clinical significance of bone tunnel widening (TW) at a mean 5-year period after anterior cruciate ligament reconstruction (ACLR) with a transtibial drilling technique. METHODS:Fifty-nine patients undergoing primary ACLR using quadrupled hamstring a...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-012-1596-2

    authors: Nebelung S,Deitmer G,Gebing R,Reichwein F,Nebelung W

    更新日期:2012-11-01 00:00:00

  • The anterior approach for the treatment of posterior osteochondral lesions of the talus: comparison of different surgical techniques.

    abstract:INTRODUCTION:Most of all osteochondral talar lesions are located in the middle and posterior area of the talar surface. Malleolar osteotomy is often used to access the defect but may be associated with malunion or secondary osteoarthritis. We present an alternative approach to the talus with temporary removal and repla...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-005-0058-5

    authors: Kreuz PC,Steinwachs M,Edlich M,Kaiser T,Mika J,Lahm A,Südkamp N

    更新日期:2006-05-01 00:00:00

  • Effect of tourniquet application on deep vein thrombosis after total knee arthroplasty.

    abstract:INTRODUCTION:There is a great deal of controversy about the effect of tourniquets on development of deep vein thrombosis (DVT) after total knee arthroplasty (TKA). PATIENTS AND METHODS:We investigated the incidence of postoperative DVT after TKA with or without the use of a tourniquet. The patients were 48 consecutive...

    journal_title:Archives of orthopaedic and trauma surgery

    pub_type: 杂志文章

    doi:10.1007/s00402-006-0244-0

    authors: Fukuda A,Hasegawa M,Kato K,Shi D,Sudo A,Uchida A

    更新日期:2007-10-01 00:00:00