Conservative treatment of humeral head fractures.docVIP

 PAGE \* MERGEFORMAT 7 Conservative treatment of humeral head fractures [Abstract] Objective To introduce the method of conservative treatment of humeral head fractures and effect. Methods conservative treatment of humeral head fractures in 48 patients, all patients were initial treatment in 3 to 12 months after the review, observation of treatment. Results 48 patients, 29 cases of fracture healing , delayed union in 18 cases, nonunion in 1 case. healing time was 3 to 10 months, an average of 6.5 months. Conclusions shift less or more stable after closed reduction of fracture can be treated conservatively with satisfactory results. [Keywords:] humerus, fractures, conservative treatment Humeral head fractures are generally caused by the larger impact of violence directly, with axillary plexus neurovascular injury risk. Taking into account the complexity of the shoulder joint, open surgery is sometimes difficult to restore a smooth articular surface, and surgical soft tissue damage and further increase the fracture , damage the integrity of the rotator cuff, damaged the blood supply, increase the fracture healing and risk of ischemic necrosis of the humeral head. manipulative reduction and external fixation method is simple, reliable efficacy in patients with less pain, and low cost of treatment, it is suitable promotion at the grassroots level. Based on the above points into account, conservative treatment - reduction and external fixation techniques may well be a very important therapeutic tool. Since September 2002 to December 2008 People’s Hospital of Wuhan Hannan reduction and external fixation by means humeral head fractures in 48 patients achieved satisfactory results, the final report is as follows. 1 Materials and Methods 1.1 General Information of this group were 48 cases of traumatic closed fracture, in which 22 males and 26 females, the oldest 85 years old, minimum 13 years old, average 38 years old, was injured first consultation time