PLACE OF ORTHOPEDIC TREATMENT OF DIAPHYSEAL FRACTURES OF THE UNCOMPLICATED HUMERUS IN A PRECARIOUS ENVIRONMENT
DOI:
https://doi.org/10.53555/eijmhs.v5i2.76Keywords:
diaphysis fracture, humerus, functional evaluation, orthopedic, treatmentAbstract
Introduction: In Madagascar, the management of diaphyseal fractures of the humerus is essentially orthopedic, the functional result is difficult to evaluate because little study has been done.
Methods: We performed a prospective, single-center study of patients presenting with a diaphyseal fracture of the uncomplicated humerus treated orthopedically with CHUJRA from December 12th, 2015 to March 31st, 2017 and then reviewed at 6 months of follow-up for the functional evaluation.
Results: Twenty-seven cases were collected (2.16%). The average age was 38 years old. The sex ratio was 3.5. The road accident was the most common (63% of cases). 16 out of 27 cases were of type a, 6 of type B and 5 of type C. Eighty-eight percent of fractures were consolidated before the 17th week of management. No pseudarthrosis was encountered. At 6 months of follow-up, the functional score according to the modified Stewart and Hundley score was very good in 03 cases, good in 15 cases, 6 cases of good enough and 3 cases of poor results.
Conclusion: The diaphyseal fracture of the humerus is frequent and often secondary to a road accident in Madagascar. Orthopedic treatment not only allows for a high rate of consolidation but also a satisfactory functional recovery.
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