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Using External Fixation in the Treatment of Ballistic Injury to the Humeral Diaphysis in a Teenager

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Pediatric Orthopedic Trauma Case Atlas

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Abstract

A 14-year-old boy was treated with a ballistic injury to the left humerus diaphysis associated with a brachial artery injury and radial nerve palsy. Emergent operative treatment for early stabilization of the fracture, arterial reconstruction and fasciotomy was performed. Delayed definitive treatment of the facture was done with Ilizarov-type circular external fixation. The fixator was removed after 4 months after evidence of full consolidation on radiographs. Conservative treatment of the radial nerve palsy resulted in full recovery of nerve motor and sensitive function after 5 months. Full range of motion of the elbow from 0° to 130° was obtained at the end of treatment.

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References and Suggested Readings

  • Atalar AC, Kocaoglu M, Demirhan M, Bilsel K, Eralp L (2008) Comparion of three different treatment modalities in the management of humeral shaft nonunions (plates, unilateral, and circular external fixators). J Orthop Trauma 22(4):248–257

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  • Catagni M (2003) Atlas for the insertion of transosseous wires and half-pins: Ilizarov method. Medi Surgical Video, Milan

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  • Scaglione M, Fabbri L, Dell’Omo D, Goffi A, Guido G (2015) The role of external fixation in the treatment of humeral shaft fractures: a retrospective case study review on 85 humeral fractures. Injury 46(2):265–269

    Article  Google Scholar 

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Authors and Affiliations

  1. Rubin Institute for Advanced Orthopedics, International Center for Limb Lengthening, Baltimore, MD, USA

    Michael J. Assayag

  2. Pediatric Orthopedics Ruth Children’s Hospital, Rambam Health Care Campus, Haifa, Israel

    Mark Eidelman

Authors
  1. Michael J. Assayag
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  2. Mark Eidelman
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Corresponding author

Correspondence to Michael J. Assayag .

Editor information

Editors and Affiliations

  1. Ohio State University, Nationwide Children’s Hospital Ohio State University, Columbus, OH, USA

    Christopher Iobst

  2. Department of Orthopedic Surgery, Nemours Children's Hospital, Orlando, FL, USA

    Steven L. Frick

Section Editor information

  1. Nemours Specialty Care Pensacola, Pensacola, FL, USA

    Richard Reynolds

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© 2019 Springer Nature Switzerland AG

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Assayag, M.J., Eidelman, M. (2019). Using External Fixation in the Treatment of Ballistic Injury to the Humeral Diaphysis in a Teenager. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_13-1

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  • DOI: https://doi.org/10.1007/978-3-319-28226-8_13-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28226-8

  • Online ISBN: 978-3-319-28226-8

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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