Góngora LJ, de la Torre GDM, Salazar PR, López RL, Ortiz RF

Language: Spanish
References: 10
Page: 88-92
PDF size: 62.80 Kb.

ABSTRACT

Objective. To evaluate the functional outcomes of the thoracic extremity trated surgically in mature patients with suprachondilar fracture of humerus at the Hospital Juarez de Mexico, from January of the 2002 to December of the 2004. Material and methods. The binnacles of surgeries of January were reviewed from the 2002 to December 1st of the 2004, 36 patients had with I diagnose of fracture suprachondilear humeral, trated surgically with open reduction and internal fixation. Eighteen men (50%) 18 women (50%), age range between 28 and 94 years (I average 61 years), right upper limb affected 17 (48%) left upper limb 19 (52%), time of evolution of the fracture until the surgical treatment, range of seven days to 37 days (I average of 12.8 days), surgical treatment with open reduction and internal fixation (ORIF) with reconstruction plate and screws in 31 patients and (ORIF) with crossed wires in five patients. Evaluation it has been made immediate after surgery, subsequent control at two weeks, six weeks and 12 weeks, with radiographic control. Results. Were find consolidation of the fracture in 100% from the patients at the 12 weeks, and the functionality of the elbow was evaluated after 12 weeks, once they’ ve had iniciated treatment of rehabilitation of the extremity. The scale May elbow store was used with a stocking of 79 range from 60 to 100, with 20 excellent results, 11 good results and five poor results. When we applied the scale Disability of Arm, Shoulder and Hand score (DASH) store met a stocking of 28 with range of O at 61. Finding a regular distribution in agreement with the patient’s age, sex and physical activity. A case of infection of surgical wound was reported as complication. Conclusions. The surgical treatment with open reduction and internal fixation (ORIF) with reconstruction Plate seems to be an appropriate method to trate the suprachondilar humerus fractures in young patients and adults patients, and still the reduction and fixation with Kirschner wires was an appropriate method for senile patient with bad bony quality. The restoration of the functionality of the affected extremity variates in consideration at the severity of the injury, the patient’s age and the previous physical activity state to the lesion.

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