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Use of the Ilizarov apparatus to improve alignment in proximal humeral fractures treated initially by a unilateral external fixator.

Dhar SA, Butt MF, Mir MR, Ali MF, Kawoosa AA - Strategies Trauma Limb Reconstr (2008)

Bottom Line: One of the recommended methods for the management of displaced unstable proximal humeral fractures is the unilateral external fixator.Conversion of the treatment concept to other modalities is difficult because of the problem of pin tract infection.The Ilizarov apparatus provides an useful method in such situations, as it allows distraction, translation and compression without the need for further anaesthesia and additional fixation.

View Article: PubMed Central - PubMed

Affiliation: The Government Hospital for Bone and Joint Surgery, Bagat Barzulla, Srinagar, 190005, Kashmir, India, shabirdhar@yahoo.co.in.

ABSTRACT
One of the recommended methods for the management of displaced unstable proximal humeral fractures is the unilateral external fixator. In polytrauma cases this method may be especially useful for the stabilisation of these fractures. However, problems may arise if the fracture is fixed in a malaligned or distracted position. Conversion of the treatment concept to other modalities is difficult because of the problem of pin tract infection. The Ilizarov apparatus provides an useful method in such situations, as it allows distraction, translation and compression without the need for further anaesthesia and additional fixation.

No MeSH data available.


Related in: MedlinePlus

Post-fixation radiograph showing malalignment
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Fig2: Post-fixation radiograph showing malalignment

Mentions: From January 2005 to April 2008 three cases of polytrauma with an injury severity score >18 were admitted to the Government hospital for bone and joint surgery with one of the injuries being a displaced fracture of the surgical neck of the humerus. The fracture was stabilised with external fixation applied with two half pins proximal as well as distal to the fracture. The patients were stabilised in terms of measurable parameters over a period of 2 weeks during which their coexisting injuries were managed. Once the patients were stabilised and pO2/FiO2 normalised, the patients were shifted back to the orthopaedic unit. In all these cases the reduction in terms of radiologic parameters was unacceptable. Due to high possibility of the pin tract infection, the operative concept of open reduction and internal fixation was precluded (Figs. 1, 2).Fig. 1


Use of the Ilizarov apparatus to improve alignment in proximal humeral fractures treated initially by a unilateral external fixator.

Dhar SA, Butt MF, Mir MR, Ali MF, Kawoosa AA - Strategies Trauma Limb Reconstr (2008)

Post-fixation radiograph showing malalignment
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2599802&req=5

Fig2: Post-fixation radiograph showing malalignment
Mentions: From January 2005 to April 2008 three cases of polytrauma with an injury severity score >18 were admitted to the Government hospital for bone and joint surgery with one of the injuries being a displaced fracture of the surgical neck of the humerus. The fracture was stabilised with external fixation applied with two half pins proximal as well as distal to the fracture. The patients were stabilised in terms of measurable parameters over a period of 2 weeks during which their coexisting injuries were managed. Once the patients were stabilised and pO2/FiO2 normalised, the patients were shifted back to the orthopaedic unit. In all these cases the reduction in terms of radiologic parameters was unacceptable. Due to high possibility of the pin tract infection, the operative concept of open reduction and internal fixation was precluded (Figs. 1, 2).Fig. 1

Bottom Line: One of the recommended methods for the management of displaced unstable proximal humeral fractures is the unilateral external fixator.Conversion of the treatment concept to other modalities is difficult because of the problem of pin tract infection.The Ilizarov apparatus provides an useful method in such situations, as it allows distraction, translation and compression without the need for further anaesthesia and additional fixation.

View Article: PubMed Central - PubMed

Affiliation: The Government Hospital for Bone and Joint Surgery, Bagat Barzulla, Srinagar, 190005, Kashmir, India, shabirdhar@yahoo.co.in.

ABSTRACT
One of the recommended methods for the management of displaced unstable proximal humeral fractures is the unilateral external fixator. In polytrauma cases this method may be especially useful for the stabilisation of these fractures. However, problems may arise if the fracture is fixed in a malaligned or distracted position. Conversion of the treatment concept to other modalities is difficult because of the problem of pin tract infection. The Ilizarov apparatus provides an useful method in such situations, as it allows distraction, translation and compression without the need for further anaesthesia and additional fixation.

No MeSH data available.


Related in: MedlinePlus