Le fratture diafisarie dell’omero
Tóm tắt
Humeral shaft fractures represent approximately 1 to 3 percent of all fractures. The majority of medical classification systems available today divides humeral shaft fractures into: proximal third fractures, distal third fractures, and middle third fractures. Furthermore, Müller’s AO classification provides information on the type and group of fractures. The appropriate treatment for humeral shaft fractures depends on proper handling of soft-tissues. A classification of soft-tissues injuries should consider all main factors and guide treatment, in order to limit complications. There are now several treatment options for humeral shaft fractures: a conservative approach, intramedullary nailing, the plate and screw system, and the external fixation system. All these techniques may lead to complications, depending on intrinsic characteristics of the fractures. The most common problems include the following: bone consolidation defects and neurovascular injuries. Several comparative studies have examined the clinical and functional results of the different treatment options available today. There are no significant differences among them. The treatment of humeral shaft fractures is a key element in traumatology, and it is constantly being updated. It takes advantage of new concepts for reduction and synthesis, which are based on a better understanding of the biology of fracture healing, and on the fundamental role of soft tissues in the healing process.
Tài liệu tham khảo
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