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Titre du Document
Adult distal humeral metaphyseal fractures: Epidemiology and results of treatment
Auteur(s)
ROBINSON C. Michael ; HILL Richard M. F. ; JACOBS Neal ; ...
Résumé
Objectives: To examine the epidemiology and results of treatment of fractures of the distal humeral metaphysis. Design: Observational cohort study. Setting: An orthopaedic trauma unit, which provides all the fracture care for a well-defined catchment population. Patients/Participants: A consecutive series of 320 patients with distal humeral fractures admitted to the unit between January 1988 and June 1997. Intervention: We adopted a protocol of open reduction and fixation of all displaced fractures (greater than 5 mm of displacement in any plane) in patients who were medically fit for anesthesia. Postoperative immobilization was a cylinder cast for 6 weeks. Patients with undisplaced fractures or who were medically unfit were also treated nonoperatively in cylinder casts for 6 weeks. Main Outcome Measurements: Epidemiological examination of patient subgroups and the incidence of complications of treatment. Results: The overall incidence of distal humeral fractures in adults during this time was 5.7 cases per 100,000 in the population per year with an almost equal male to female ratio. There was a bimodal age distribution, simple falls were the most common overall cause of fracture, and the majority of the fractures were extra-articular (AO/OTA type A) or complete articular fractures (AO/OTA type C). The risk of complications during treatment was generally low in most patients, and the majority healed their fractures uneventfully. Overall, 90.6% of fractures united within 12 we
Editeur
Lippincott Williams & Wilkins
Identifiant
PMID : 12499966 ISSN : 0890-5339
Source
Journal of orthopaedic trauma A. 2003, vol. 17, n° 1, pp. 38-47 [10 pages] [bibl. : 49 ref.]
Langue
Anglais
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