PMID: 9420110Jan 7, 1998Paper

Closed humeral shaft fractures: a prospective evaluation of surgical treatment

The Journal of Trauma
F Y ChiuT H Chen

Abstract

We tried to define the roles of the rigid dynamic compression plate (DCP) and the semi-rigid Ender nail (EN) in the treatment of closed humeral shaft fractures. A prospective, randomized clinical study was performed with detailed comparison parameters. Ninety-one closed humeral shaft fractures were treated. Randomly, 30 humeri were treated with open reduction and internal fixation with DCP and no bone grafting (BG), 29 were treated with the same procedure but with BG, and 32 were treated with closed reduction and internal fixation with Ender nails. The average follow-up period was 32 months (range, 13-54 months). In the group with DCP without BG, the average blood loss was 270 mL, operation time was 92 minutes, hospital length of stay was 6.5 days, and union time was 12.5 weeks. In the group with DCP with BG, the average blood loss was 325 mL, operation time was 108 minutes, hospital length of stay was 6.9 days, and union time was 9.4 weeks. In the EN group, the average blood loss was 114 mL, operation time was 54 minutes, hospital length of stay was 5.6 days, and union time was 9.9 weeks. Analysis of variance and Fisher's exact test were used to evaluate the statistical significance. In our experience, for humeral shaft fractu...Continue Reading

References

May 1, 1989·The Journal of Trauma·W G DeLongC W Schwab
Dec 1, 1981·Southern Medical Journal·T B Dameron, S A Grubb
Mar 1, 1965·Southern Medical Journal·R J MANN, E G NEAL

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Citations

Feb 17, 2005·International Orthopaedics·Ting-Cheng ChaoChien-Jen Hsu
Oct 22, 2009·International Orthopaedics·Juan M ConchaPhilipp N Streubel
Oct 9, 2007·Injury·Christopher Tzioupis, Peter V Giannoudis
Mar 9, 2013·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Xiaofeng WangQing Xia
Dec 20, 2014·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Gökçer UzerAnil Pulatkan
Jun 22, 2007·Injury·J P A M Verbruggen, J W J L Stapert
Dec 29, 1998·The Journal of Trauma·G ZattiP Cherubino
Nov 8, 2006·Journal of Orthopaedic Trauma·Radford EkholmSari Ponzer
Mar 26, 2010·Journal of Orthopaedic Trauma·Christos Garnavos, Nikolaos Lasanianos
Dec 28, 2007·The Journal of Bone and Joint Surgery. British Volume·T M P O'DonnellS J O'Flanagan
Nov 13, 2015·The Cochrane Database of Systematic Reviews·Helen Hg Handoll, Stig Brorson
Jun 17, 2011·The Cochrane Database of Systematic Reviews·Harish KurupJ Glynne Andrew
Feb 4, 2021·EFORT Open Reviews·Nicolas GallusserFrédéric Vauclair
Feb 25, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Ruipeng ZhangYingze Zhang
Mar 12, 2011·Journal of Shoulder and Elbow Surgery·Matt WalkerMark Mighell

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