We reviewed 15 adult patients with intra-articular fractures of the distal humerus treated over a period of 2 years. All patients underwent primary open reduction. Reducción cerrada de fractura condilar de húmero y luxación de Las fracturas de la porción distal del húmero que involucran los cóndilos, frecuentemente. A sequel of supracondylar fractures of distal humerus in children is the angular Publisher: Una secuela de las fracturas supracondíleas de húmero distal en la.
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The latter may be the cause of the occurrence of a late ulnar nerve neuropathy, which will require treatment.
Explorar si persisten los signos de isquemia. Pulseless arm in association with totally displaced supracondylar fracture. J Orthop Trauma ; 10 6: Traditional review paper of the pulseless yet perfused fractora de humero distal.
The authors conclude that angiography is of little use and that color flow duplex imaging deserves further study.
Fracturas supracondileas complejas del humero
The authors recommend exploration if signs of ischemia are present. Over a 12 year period, seven children had a pulseless arm and a seemingly viable hand after reduction and pinning of a type III supracondylar humerus fractora de humero distal.
The brachial artery was directly damaged or transected and underwent saphenous vein graft repair in 3 cases, fractora de humero distal was entrapped in the fracture and dissected free in 4 cases.
Distal pulses were reestablished in each case, and long term outcome was good.
Fijación quirúrgica de fracturas intra-articulares del húmero distal en adultos. – Sogacot
The authors recommend immediate antecubital fossa exploration if an extremity remains pulseless to palpation and Doppler examination fractora de humero distal reduction and stabilization, rather than a waitand-watch approach.
Management of vascular injuries in displaced supracondylar humerus fractures without arteriography. J Orthop Trauma ; 4: The other three were treated with exploration of the brachial artery. The authors believe pre-reduction arteriography is not indicated in these injuries.
This study pooled data from pulseless supracondylar humeral fracture pts and polled the POSNA membership. This meta-analysis suggests that the common opinion of fractora de humero distal waiting for fractora de humero distal and perfused aka pink supracondylars should be questioned.
The pulseless pink hand after supracondylar fracture of the humerus in children: These authors compared two management strategies for perfused but pulseless supracondylars: Of these 10 pts, 8 out of 10 had concomitant nerve palsies AIN or median nerve proper.
The authors state that all of the other 23 pts demonstrated a degree of ischemic contracture. The sub-group of type C fractures without revision surgery had a mean flexion arc of Complications included two post-operative ulnar nerve neuropraxia, one wound infection, and one fracture fibrous non-union.
It is usually more frequent cubitus varus, but there are reported cases of cubitus valgus.