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ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2005, Number 1

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Rev Mex Ortop Ped 2005; 7 (1)

Pseudoarthrosis of distal fractures of the humerus in children, clinical and radiological correlation

Espino AMJ, Nualart L, Capdevila R

Language: Spanish
References: 14
Page: 24-29
PDF size: 107.19 Kb.


ABSTRACT

The distal fractures of the humerus are difficult of treating, results of pseudoarthrosis are molests with invalided functional and pain. There is little information in the world literature with regard to the result of pseudoartrosis. Objective: Analyze the evolution of pseudoarthrosis in humerus distal, in past 29 years. Material and methods: Clinical and radiological files were revised, with distal fractures of the humerus, from 1975-2004, analyze the age, sex, side affected, type of fracture, muscular strength, and mobility before and after surgery, and the presence of angular deformity, follow up 5-10 years. Results: We revise 375 fractures, 12 pseudoarthrosis: 3 had a conservative treatment, 2 with previous surgery, 7 were operated in our hospital, 8 right, 4 left, 7 male, 5 female, age average 8.5 years, 4 supracondylar, 6 condyle lateral, 2 condyle medial, mobility before surgery in flexion 90°, extension 30°, after surgery flexion from 90 to 120°, extension 30° to 0°, muscular strength before surgery flexion 4/5, extension 4/5, muscular strength after surgery flexion 5/5, extension 4/5, patients with varus: 7, and 3 with valgus, neutral 2. Conclusions: Management of pseudoarthrosis from the distal humerus fractures, during 29 years went to obtain a functional elbow, without need of another surgery, the radiography after the management surgery and conservative, its not flatter, we have an alone opportunity surgery in its management, to obtained ranks of mobility inside normal limits, without wounds neurologic, and asymptomatic, compared with the world literature.


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