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首页> 外文期刊>The Professional Medical Journal >HUMERAL DIAPHYSEAL FRACTURE; To determine the outcome of close reduction and conservative management in closed humeral diaphyseal fracture in terms of normal union and delayed union
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HUMERAL DIAPHYSEAL FRACTURE; To determine the outcome of close reduction and conservative management in closed humeral diaphyseal fracture in terms of normal union and delayed union

机译：肱骨干骨折;从正常联合和延迟联合的角度确定闭合复位肱骨干骨干骨折保守治疗的结果

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Objectives: To determine the outcome of close reduction and conservativemanagement in closed humeral diaphyseal fracture in terms of normal union and delayedunion. Study design: Descriptive case series. Setting: Orthopedic Department of Allied andDHQ Hospital Faisalabad. Duration of study: 15th December 2012 to 15th December 2014.Material & Methods: 170 patients with mean age of 36.68 ± 14.16 including 98 (57.6%)males and 72 (42.4%) females falling in inclusion criteria were managed conservatively withthe technique i.e. application of u-shaped plaster slab initially for 3 weeks then replaced byhumeral brace (Sarmiento) uptil 12 weeks. Results: 170 patients with mean age of 36.68 ±14.16 including 98 (57.6%) males and 72 (42.4%) female patient. Simple transverse fractureswere 103 (66.47%), spiral fractures 31 (18.23%) and oblique fractures 36 (15.30%). Unionwas achieved in 158 patients (92.94%), 12 patients (7.05%) progress to delayed union. Meanhealing time was 10 weeks ± 1.81 with a range of 7 to 15 weeks. Conclusion: When choosingconservative methods close reduction and conservative management initially with u-slab ofplaster of paris later replaced by humeral brace (Sarmiento) is the treatment of choice becauseof low complication but very high success rates.
机译：目的：从正常联合和延迟愈合的角度确定闭合性肱骨干dia端骨折的闭合复位和保守治疗的结果。研究设计：描述性案例系列。地点：联合医院骨科和费萨拉巴德DHQ医院。研究持续时间：2012年12月15日至2014年12月15日。材料与方法：170例平均年龄为36.68±14.16的患者，其中98例（57.6％）男性和72例（42.4％）纳入标准的女性采用该技术保守治疗。最初用3个星期的U型石膏板代替，然后用肱骨支架（Sarmiento）替换，直到12个星期。结果：170例患者的平均年龄为36.68±14.16，其中男性98例（57.6％），女性72例（42.4％）。单纯横向骨折103例（66.47％），螺旋形骨折31例（18.23％），斜形骨折36例（15.30％）。 158例患者（92.94％）达到了愈合，进展为延迟愈合的患者为12例（7.05％）。平均治愈时间为10周±1.81，范围为7到15周。结论：选择保守治疗方法时，首先采用并发症少，但成功率高的方法，首先采用肱骨撑开术（Sarmiento）替代巴黎石膏的U型平板进行封闭复位和保守治疗。

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