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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

This hinge assembly allows correction of angulation. Translation is achieved if additional hexagonal nuts are used
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Fig6: This hinge assembly allows correction of angulation. Translation is achieved if additional hexagonal nuts are used

Mentions: We utilised the two pins already placed on either side of the fracture. By sequentially applying distraction, translation and compression we were able to reduce the distraction in all our cases and improve alignment to acceptable limits. Due to the possibility of applying compression, we were able to facilitate union further. Both patients returned to their previous profession which incidentally was carpentry. Neither reported any sequel of pin tract problems at final follow up (Fig. 5, 6).Fig. 5


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)

This hinge assembly allows correction of angulation. Translation is achieved if additional hexagonal nuts are used
© Copyright Policy
Related In: Results  -  Collection

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

Fig6: This hinge assembly allows correction of angulation. Translation is achieved if additional hexagonal nuts are used
Mentions: We utilised the two pins already placed on either side of the fracture. By sequentially applying distraction, translation and compression we were able to reduce the distraction in all our cases and improve alignment to acceptable limits. Due to the possibility of applying compression, we were able to facilitate union further. Both patients returned to their previous profession which incidentally was carpentry. Neither reported any sequel of pin tract problems at final follow up (Fig. 5, 6).Fig. 5

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