scholarly journals Anatomical and functional outcomes after surgical treatment of distal humeral fracture in Sylvanus Olympio hospital

2021 ◽  
Vol 7 (3) ◽  
pp. 608-611
Author(s):  
Kombate NK ◽  
Akloa KEK ◽  
Dellahn YY ◽  
Towoezim T
2019 ◽  
Vol 13 (4) ◽  
pp. 399-403
Author(s):  
A. Salonen ◽  
S. T. Niemi ◽  
P. Kannus ◽  
E. Laitakari ◽  
V. M. Mattila

PurposePrevious studies on paediatric and adolescent distal humeral fractures have reported an increase in surgical treatment activity. This increase could be hypothesized to reduce the incidence of corrective osteotomies. The aim of this study was to determine the incidence and trends of the primary surgical treatment of distal humeral fractures and corrective osteotomies in children and adolescents.MethodsAll Finns 18 years of age or younger who underwent treatment for distal humeral fracture between 1987 and 2016 were included in this population-based study. Surgical treatment data were obtained from the National Hospital Discharge Register of Finland. In calculating annual surgery incidence rates, the annual mid-year populations were obtained from the Official Statistics Finland. Surgical treatment was categorized into four groups; reposition and casting, osteosynthesis, external fixation and corrective osteotomy.ResultsDuring the 30-year study period, 9017 surgical procedures were performed in Finland with the primary or secondary diagnosis code being a distal humeral fracture. Of these, 6961 (77.2%) were osteosynthesis and the incidence of osteosynthesis (per 100 000 person-years) increased fourfold from 8.2 in 1987 to 34.1 in 2016. In the same 30-year study period, the total number of corrective osteotomies was low (151) with annual variation from one to 16. The incidence of corrective osteotomies (per 100 000 person-years) decreased sevenfold from 0.7 to 0.1.ConclusionThe incidence of surgical treatment with osteosynthesis in distal humeral fractures increased fourfold in Finland between 1987 and 2016. During the same time period, the number of corrective osteotomies diminished significantly.Level of EvidenceIV


2016 ◽  
Vol 475 (3) ◽  
pp. 620-630 ◽  
Author(s):  
Tao Ji ◽  
Wei Guo ◽  
Rongli Yang ◽  
Xiaodong Tang ◽  
Yifei Wang ◽  
...  

2020 ◽  
Vol 28 (3) ◽  
pp. 230949902096025
Author(s):  
Suriya Luenam ◽  
Arkaphat Kosiyatrakul ◽  
Kantapat Phakdeewisetkul ◽  
Chedtha Puncreobutr

The open distal humeral fracture associated with the major loss of the articular surface and bony structure is a challenging problem for orthopedic surgeons. In this case report, we describe a case of complete missing lateral column of the distal humerus with severe articular destruction of capitellum and lateral trochlear ridge which was treated with the patient-specific implant created with three-dimensional printing technology. Apart from anatomic replacement of the articular surface, the lateral collateral ligament complex and extensor muscle which are the key soft tissue stabilizers of elbow were repaired by reattaching their bony origins to the impacted iliac crest bone graft inside the implant. Due to the favorable result at 2-year follow-up, this modality is a potentially viable surgical option in treating of the severe open distal humeral fracture associated with entire lateral condylar damage.


2013 ◽  
Vol 27 (6) ◽  
pp. 331-335 ◽  
Author(s):  
Kenneth A. Egol ◽  
Ji H. Park ◽  
Colin Prensky ◽  
Zehava S. Rosenberg ◽  
Valerie Peck ◽  
...  

2018 ◽  
Vol 37 (3) ◽  
pp. 160-166
Author(s):  
C. Demirdover ◽  
F.A. Ozturk ◽  
H.S. Yazgan ◽  
N. Yogurtcu ◽  
M. Sevindik ◽  
...  

2012 ◽  
Vol 17 (4) ◽  
pp. 160-173 ◽  
Author(s):  
Lucas Senhorinho Esteves ◽  
Carolina Ávila ◽  
Paulo José Medeiros

INTRODUCTION: A conventional ortho-surgical treatment, although with good clinical results, does not often achieve the desired functional outcomes. Patients with dentofacial deformities, especially those with increased occlusal planes (OP), are also affected by muscle, joint and breathing functional disorders, as well as facial esthetic involvement. The surgical manipulation of the OP in orthognathic surgery is an alternative to overcome the limitations of conventional treatment. OBJECTIVE: To report the importance of assessing the occlusal plane during diagnosis, planning and ortho-surgical treatment of patients with facial skeletal deformities and its main advantages. CONCLUSION: Although both philosophies of ortho-surgical treatment (conventional and by surgical manipulation of the OP) have presented good results, the selective correction of the OP allows a full treatment of these patients, providing better esthetic and functional results.


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