Results of Open Surgical Treatment of Humeral Paddle Fractures about 63 Cases  

作　　者：Mansi Zied Chermiti Wajdi Rbai Hedi Saadana Jacem Zaidi Bacem Sindi Sihem Gazzah Wael Mansi Zied;Chermiti Wajdi;Rbai Hedi;Saadana Jacem;Zaidi Bacem;Sindi Sihem;Gazzah Wael(Department of Orthopedics-Traumatology, Ibn El Jazzar Hospital of Kairouan, Kairouan, Tunisia;Department of Orthopaedics-Traumatology, Sahloul Hospital of Sousse, Sousse, Tunisia;Department of Orthopedics-Traumatology, Fattouma Bourguiba Hospital of Monastir, Monastir, Tunisia;Department of General Surgery, Ibn El Jazzar Hospital of Kairouan, Kairouan, Tunisia;Department of Urology, Ibn El Jazzar Hospital of Kairouan, Kairouan, Tunisia)

机构地区：[1]Department of Orthopedics-Traumatology, Ibn El Jazzar Hospital of Kairouan, Kairouan, Tunisia [2]Department of Orthopaedics-Traumatology, Sahloul Hospital of Sousse, Sousse, Tunisia [3]Department of Orthopedics-Traumatology, Fattouma Bourguiba Hospital of Monastir, Monastir, Tunisia [4]Department of General Surgery, Ibn El Jazzar Hospital of Kairouan, Kairouan, Tunisia [5]Department of Urology, Ibn El Jazzar Hospital of Kairouan, Kairouan, Tunisia

出　　处：《Open Journal of Orthopedics》2024年第1期83-91,共9页矫形学期刊（英文）

摘　　要：Fractures of the humeral paddle, common to young adults, are most often complex, linked to violence and an increase in road accidents. The objective of our work is to evaluate our functional results, in the medium term, correlated with a review of the literature. This is a retrospective study of 63 patients, carried out in the traumatology-orthopedics department 1 of the IBN EL JAZZAR hospital in KAIROUAN, over a period of 7 years from January 2015 to December 2021. The average age of patients was 39 years (17 - 68 years). Predominantly male. The etiologies are dominated by falls and accidents on public roads. Fractures are classified according to the Müller and Allgöwer classification where type C is found in 51% of cases. All our patients undergo an olecranon osteotomy in 71% of cases. Osteosynthesis using a Lecestre plate combined with screwing or plugging is used in 84% of cases. The evolution is marked by complications observed in eight patients (16%), including two cases of sepsis, four cases of elbow stiffness (8%), one case of joint callus and one case of pseudarthrosis. Our results are evaluated according to the Mayo Elbow Performance Score, they are excellent and good in 71% of cases, average in 18% of cases and poor in 11% of cases. Fractures of the humeral paddle are fractures with a satisfactory functional prognosis, requiring ad integrum anatomical restoration and solid osteosynthesis allowing early rehabilitation of the elbow. One case of joint callus and one case of pseudarthrosis.Fractures of the humeral paddle, common to young adults, are most often complex, linked to violence and an increase in road accidents. The objective of our work is to evaluate our functional results, in the medium term, correlated with a review of the literature. This is a retrospective study of 63 patients, carried out in the traumatology-orthopedics department 1 of the IBN EL JAZZAR hospital in KAIROUAN, over a period of 7 years from January 2015 to December 2021. The average age of patients was 39 years (17 - 68 years). Predominantly male. The etiologies are dominated by falls and accidents on public roads. Fractures are classified according to the Müller and Allgöwer classification where type C is found in 51% of cases. All our patients undergo an olecranon osteotomy in 71% of cases. Osteosynthesis using a Lecestre plate combined with screwing or plugging is used in 84% of cases. The evolution is marked by complications observed in eight patients (16%), including two cases of sepsis, four cases of elbow stiffness (8%), one case of joint callus and one case of pseudarthrosis. Our results are evaluated according to the Mayo Elbow Performance Score, they are excellent and good in 71% of cases, average in 18% of cases and poor in 11% of cases. Fractures of the humeral paddle are fractures with a satisfactory functional prognosis, requiring ad integrum anatomical restoration and solid osteosynthesis allowing early rehabilitation of the elbow. One case of joint callus and one case of pseudarthrosis.

关 键 词：FRACTURE Humeral Paddle Surgical Treatment 

分 类 号：R68[医药卫生—骨科学]