LO SCALPELLO-OTODI Educational

, Volume 29, Issue 1, pp 24–29 | Cite as

Le fratture diafisarie dell’omero

  • F. Cudoni
  • P. Solinas
  • G. Patta
  • F. Zirattu
  • G. Marcello
  • S. Cudoni
Aggiornamenti

Humeral shaft fractures

Abstract

Humeral shaft fractures represent approximately 1 to 3 percent of all fractures. The majority of medical classification systems available today divides humeral shaft fractures into: proximal third fractures, distal third fractures, and middle third fractures. Furthermore, Müller’s AO classification provides information on the type and group of fractures. The appropriate treatment for humeral shaft fractures depends on proper handling of soft-tissues. A classification of soft-tissues injuries should consider all main factors and guide treatment, in order to limit complications.

There are now several treatment options for humeral shaft fractures: a conservative approach, intramedullary nailing, the plate and screw system, and the external fixation system. All these techniques may lead to complications, depending on intrinsic characteristics of the fractures. The most common problems include the following: bone consolidation defects and neurovascular injuries. Several comparative studies have examined the clinical and functional results of the different treatment options available today. There are no significant differences among them. The treatment of humeral shaft fractures is a key element in traumatology, and it is constantly being updated. It takes advantage of new concepts for reduction and synthesis, which are based on a better understanding of the biology of fracture healing, and on the fundamental role of soft tissues in the healing process.

Notes

Conflitto di interesse

Gli autori Francesco Cudoni, Pietro Solinas, Giorgio Patta, Fabio Zirattu, Giovanni Marcello e Sebastiano Cudoni dichiarano di non aver alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and animal rights

L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.

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Copyright information

© Springer-Verlag Italia 2015

Authors and Affiliations

  • F. Cudoni
    • 1
  • P. Solinas
    • 1
  • G. Patta
    • 1
  • F. Zirattu
    • 2
  • G. Marcello
    • 2
  • S. Cudoni
    • 2
  1. 1.UOC Ortopedia e TraumatologiaOspedale SS. AnnunziataSassariItalia
  2. 2.UOC Ortopedia e TraumatologiaOspedale San FrancescoNuoroItalia

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