| Author/Editor | Mikek, Martin | |
| Title | Primerjava rezultatov zdravljenja enostavnih in komunikativnih diafiznih zlomov podlahti. Smiselnost uporabe spongioplastike | |
| Type | monografija | |
| Place | Ljubljana | |
| Publisher | Medicinska fakulteta | |
| Publication year | 2001 | |
| Volume | str. 59 | |
| Language | slo | |
| Abstract | The recommendations regarding the use of spongioplasty in the treatment of cominuted diaphyseal forearm fractures with open reduction and internal fixation are conflicting. Anderson proposed the use of spongioplasty in all cominuted fractures where cominution exceeds 1/3 the circumference of the diaphysis, although this recomendation was based only on the belief, that this group of fractures has lower rate of union and prolonged time to union. As far as we know, there are no studies, that would try to define the influence of different extent of fracture cominution on the rate of healing and time to healing of these fractures. Study objectives-The goal of this study was to determine the influence of different extents of fracture cominution on the rate of healing and time to healing in a large group of patients. Determining the extent of fracture cominution that is associated with lower rate of union or prolonged time to union, would enable us to recommend the use of spongioplasty in this group of fractures. Patients and methods- We retrospectively evaluated the results of treatment of all patients with acute diaphyseal fractures of radius or ulna that were operated between 1989 and 1998 on the Department of Traumatology in University hospital Ljubljana. Analysis of the influence of cominution on the rate of healing and time to healing was performed in two steps. First the group of simple fractures was compared with the whole group of cominuted fractures regarding the rate of healing and time to healing. In the second part of the study, the cominuted fractures were grouped, based on different extent of cominution. The influence of different extent of cominution on rate of healing and time to healing was determined. (Abstract truncated at 2000 characters). | |
| Descriptors | RADIUS FRACTURES ULNA FRACTURES FRACTURES, COMMINUTED FRACTURE FIXATION, INTERNAL DIAPHYSES FRACTURE HEALING BONE PLATES AGE FACTORS SEX FACTORS FRACTURES, OPEN MULTIPLE TRAUMA POSTOPERATIVE COMPLICATIONS RETROSPECTIVE STUDIES |