Non-unions after fixation of humeral fractures using hackethal's bundle nailing technique

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F16%3A43912584" target="_blank" >RIV/00216208:11120/16:43912584 - isvavai.cz</a>

Result on the web

<a href="http://dx.doi.org/10.1590/1413-785220162405150468" target="_blank" >http://dx.doi.org/10.1590/1413-785220162405150468</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1590/1413-785220162405150468" target="_blank" >10.1590/1413-785220162405150468</a>

Result language

angličtina

Original language name

Non-unions after fixation of humeral fractures using hackethal's bundle nailing technique

Original language description

Objective: The aim of the study was to identify factors contributing to the development of non-union after fixation of diaphyseal humeral fractures using Hackethal's intramedullary nailing technique. Methods: In the time period from 2001 to 2010 156 patients with diaphyseal humeral fractures were treated surgically using Hackethal's technique. Six of them (3.8%) developed non-union. This group included three women and two men aged 63-69 years and one woman aged 37 years. The following parameters of the patients were recorded: age, gender, comorbidities, substance abuse, mechanism of injury, fracture type and location according to the AO/ASIF classification, and the operative technique. Results: A non-union developed in six patients treated with Hackethal's method (3.8%). Five of six non-unions (83%) were observed in patients in their sixties. In the subgroup of sexagenarians, non-union developed in 20.8% of surgically treated patients, as compared to 3.8 % in entire group. In the union group, fractures have been caused by high energy trauma in 52% of patients. In patients who developed non-union, high energy trauma caused 67% of fractures. With correct surgical technique the development of a non-union was observed in 0.7% of patients, with incorrect technique in 35.7% (p < 0.001). Conclusion: Treatment of diaphyseal humeral fractures with Hackethal's intramedullary elastic bundle nailing resulted in an overall high union rate. Factors contributing to the development of non-union were extension of this method to AO type B3 and C fractures and technical imperfection during implantation. Level of Evidence III, Prospective, Case- Control Study.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FI - Traumatology and orthopaedics

OECD FORD branch

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Project

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Continuities

S - Specificky vyzkum na vysokych skolach

Publication year

2016

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Acta Ortopedica Brasileira

ISSN

1413-7852

e-ISSN

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Volume of the periodical

24

Issue of the periodical within the volume

5

Country of publishing house

BR - BRAZIL

Number of pages

5

Pages from-to

270-274

UT code for WoS article

000392918700009

EID of the result in the Scopus database

2-s2.0-84998705800