LO SCALPELLO-OTODI Educational

, Volume 30, Issue 1, pp 23–30 | Cite as

Fratture esposte di omero e di gomito

Aggiornamenti

Open humerus and elbow fractures

Abstract

Humeral and elbow fractures are much rarer than those of the lower limbs and represent about 10% of all fractures. We performed a review of the literature and reported our experience in the management of these fractures. The technique mainly depends on the degree of exposure and contamination of the wound as happens for other fractures. From a close examination of the literature, which is really small, it appears that the main treatment for humeral fractures remains external fixation as an emergency stabilisation, and as final solution in case of severe mortification of muscle tissue. In case of distal humeral fracture or, in particular, of articular injuries classified as Gustilo I and II, a stable surgical treatment with plates or bone graft or dynamic fixator can be indicated for early mobilisation. In case of proximal forearm articular fractures with moderate bone exposition, the patient can be treated by stable ulnar fixation and radial reconstruction (if needed, with radial head prosthesis), if managed within six hours after the injury.

Notes

Conflitto di interesse

Gli autori R. Russo e G. Della Rotonda dichiarano di non avere 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

Per questo tipo di studio non è richiesto l’inserimento di alcuna dichiarazione relativa agli studi effettuati su esseri umani e animali.

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Copyright information

© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2016

Authors and Affiliations

  1. 1.UOC Ortopedia e TraumatologiaOspedale dei PellegriniNapoliItalia

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