Surgical Treamtment of Pseudarthrosis of the Humerus (Study of a Series of 53 Cases)

Ibn Jazzar Hospital53 enrolled

Overview

Pseudarthrosis of the humerus is a serious complication of humerus fractures, of particular interest to subjects young working people with pseudoarthrogenic risk factors (tobacco++). It represents a real problem therapeutic given the long period of treatment, its disabling socio-professional repercussions and the cost which resulting. The aim of our work is to evaluate the anatomical and functional results of different surgical techniques. used.

The management of pseudarthrosis of the humerus remains a subject of controversy. Given our results, the investigators think that osteosynthesis by plate associated with bone grafting and/or decortication remains the most suitable for the treatment of aseptic pseudarthroses of the humeral shaft while treatment with Ilizarov is most appropriate in septic pseudarthrosis. However, the best treatment for pseudarthrosis of the humerus remains that of treating the initial fracture. and better control of pseudoarthrogenic risk factors (tobacco++).

Study Type

OBSERVATIONAL

Enrollment

Conditions

Humerus Fracture

Interventions

surgeryOTHER

SURGICAL TREATMENT OF PSEUDARTHROSIS OF THE HUMERUS

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * \- Adult men and women \> 18 years old with pseudarthrosis of the post-fractured humeral diaphysis treated in the orthopedic surgery and traumatology department. Exclusion Criteria: * \- Unusable files. * Patients lost to follow-up. * Patients who did not accept therapeutic treatment.

Outcomes

Primary Outcomes

Distribution of atrophic pseudarthrosis according to technique surgical procedure used (in Number of patients)

Surgical technique Screwed plate:5 Percutaneous pinning:12

Time frame: a minimum follow-up of 10

Distribution of hypertrophic pseudarthrosis according to technique surgical procedure used (in Number of patients)

Surgical technique Screwed plate:4 Percutaneous pinning:9

Time frame: a minimum follow-up of 10 months

Time to consolidation depending on the type of pseudarthrosis (in months)

Atrophic Pseudarthrosis 4.4 months Pseudarthrosis Aseptic 5.28 months Hypertrophic Pseudarthrosis 5.8 months Septic Pseudarthrosis 4.6 months

Time frame: a minimum follow-up of 10 months

Average Constant score postoperatively according to the means of restraint

Screwed plate(24) :74 External fixator(28) :64 Nailing centromedullary(1) :69

Time frame: a minimum follow-up of 10 months

Data from ClinicalTrials.gov

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