Clinical Observation on the Treatment of Humeral Shaft Fracture Undergo Minimal Change In Angulation After Splint External Fixation by Traditional Chinese and Western Medicine
ZHANG Peng,FANG Min,LI Lai-Yue
Department of Trauma Orthopaedics, Tianjin Hospital, Tianjin 300211, China
Abstract:
Objective To observe the changes of the X-ray films of the fractures after the reduction of the humeral shaft fracture. Methods A retrospective study of 61 patients with humeral shaft fractures who treated with closed reduction and splint external fixation was performed immediately after treatment. X-ray examination was performed immediately after treatment. Follow-up was 3 days, 1 week, 3 weeks, 6 weeks, 3 months and 6 days after injury. The main outcome were the angles of the humeral shaft fractures measured in the coronal and sagittal planes. The second outcome was the VAS score, the last follow-up of DASH, the elbow joint MEPI, the shoulder joint Constant, the SF-36 score, fracture healing and iatrogenic radial nerve palsies. Results The average angle of the X-ray film immediately after the splint was fixed 8 degrees inversion and 6 degrees in flexion. At the last follow-up, the average coronal angle was 10 degrees and 7 degrees procurvatum. The fracture loss angle averaged 2 degrees in AP and 1degreesin sagittal plane throughout the treatment (P >0.05) and the average daily inversion and flexion deformity was about 0.01degrees. The VAS scores were lower than the 4.5(before the intervention) to 2.0 points, which were significant statistical differences (P <0.05). Average outcome scores were DASH 10.5, MEPI 94.1, Constant 95.1, SF-36 88.3 and one nonunion was found. The second-stage surgical intervention was healed (healing rate 97.6%), which without iatrogenic radialnerve palsies. Conclusion The splint fixation of the humeral shaft fracture after reduction can timely adjust the results of maintaining fracture reduction, relievepain, get early rehabilitation training and obtain excellent functional results and satisfaction.
