Humerusschaftfrakturen

Abstract

Since Lorenz Böhler postulated in his 1964 summary with the title "Against the operative treatment of fresh humeral shaft fractures" that the operative treatment is the exception in the therapy of humeral fractures times have changed. In the last years a conservative treatment of a humeral fracture is the exception and only used after straight indications. The operative therapy nowadays is the gold standard because of the development of new intramedullar and rotation stable implants in addition to the classical osteosynthesis with the plate. But even the external fixator for primary stabilisation in polytrauma patients or as rescue procedure after complications should be in repertory of every orthopedic surgeon. Attention should be put on the avoidance of primary and the correct treatment of secondary nerval lesions, esp. of the radial nerve. Here we are tending to the operative revision of the nerve in indistinct cases. In the treatment of the seldom humeral shaft fracture of the child conservative treatment is to prefer; in complications a resolute shift to a final operative stabilisation of the fracture is necessary.

Percutaneous Fixation of Comminuted Fractures of the Humerus: Initial Experience at Al Razi Hospital, Kuwait

“…Although conservative treatment may be successful in most cases, several surgical options have been proposed [8][9][10] . Different types of fixation are in use, including plates, intramedullary locked nails, and external fixation.…”

Evaluation of Outcome of Non-Operative and Operative Treatment of Humeral Shaft Fractures- A Comparative Study

“…17 Many operators believe radial nerve palsy as an absolute incidence of surgery. 18 According to Denard et al 11 there is deficiency in the current studies when comparing the outcome of non-operative and operative treatment of humeral shaft fractures. A total of 213 subjects were enrolled in the study.…”

L’inchiodamento endomidollare nelle fratture della diafisi omerale

“…A questo si associa la possibilità di una sorveglianza diretta dei tessuti molli maggiore rispetto al confezionamento di gesso e un precoce recupero funzionale e una rapida mobilizzazione nei pazienti politraumatizzati . Le indicazioni al trattamento cruento sono rappresentate dalla morfologia della frattura [9,10]: le fratture trasverse, spiroidi e quelle con terzo frammento (a farfalla) tendono con estrema frequenza, se avviate al trattamento incruento, a una riduzione non accettabile e a una altrettanto frequente scomposizione secondaria [11,12]. Da ricordare come le caratteristiche intrinseche biomeccaniche dell'omero consentano di minimizzare gli effetti di una deformità angolare post-traumatica, in virtù anche dei gradi di libertà articolare della gleno-omerale e del gomito.…”