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The Archives of Bone and Joint Surgery، جلد ۷، شماره ۳، صفحات ۰-۰
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عنوان انگلیسی Revision Fixation of Distal Humerus Fracture Non::union::s in Older Age Patients with Poor Bone Quality or Bone Loss – Is This Viable as a Long-term Treatment Option?
چکیده انگلیسی مقاله Background: The purpose of this retrospective study was to analyze the long-term results of revision ORIF, jointcontracture release, and autogenous bone-grafting in the treatment of distal humerus frac-ture non::union::s in older agedpatients with poor bone quality or bone loss who would have been candidates for total elbow arthroplasty.Methods: Seven patients (average age at index procedure: 53.3 years, range: 41-75) with a distal humerus fracturenon::union:: treated with revision ORIF, joint contracture release and autogenous bone grafting between 1989-2000 wereavailable for follow-up. Radiographic ::union:: and arthrosis were assessed using the most recent radiograph. Pain-relatedoutcomes were measured using PROMIS Pain Interference scores. Functional outcomes were evaluated using theMayo Elbow Perfor-mance Index (MEPI).Results: After an average follow-up of 22 years (range: 19-27 years), all non::union::s were healed after the indexprocedure and had an average arc of ulnohumeral motion of 80°, flexion of 112°, and flex-ion contracture of 32°.Average arthrosis grade was moderate joint-space narrowing with osteo-phyte formation. One patient had exertionaldiscomfort but none required chronic pain medica-tions. PROMIS-Pain Interference scores were no different than thegeneral population (mean [95%CI] = 49.2 [41.8, 56.6], P=0.83). Per the MEPI, the functional result was excellent in fivepatients, good in one, and poor in one.Conclusion: Despite older age and worse bone quality, distal humerus fracture non::union::s can be treated using revisionORIF, joint contracture release and autogenous bone-grafting with acceptable long-term outcomes.Level of evidence: IV
کلیدواژه‌های انگلیسی مقاله Humeral fractures, Osteoporotic fractures, Ununited Fracture
نویسندگان مقاله | Abhiram R. Bhashyam
Massachusetts General Hospital, Department of Orthopaedics, Boston, MA, USA


| Jesse B. Jupiter
Massachusetts General Hospital, Department of Orthopaedics, Boston, MA, USA
نشانی اینترنتی http://abjs.mums.ac.ir/article_11657.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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