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Master thesis

Ostéosynthèse des fractures du col chirurgical de l'humérus par embrochage fasciculé rétrograde ou enclouage antérograde. Etude comparative rétrospective à propos de 105 cas.

Abstract : Introduction. Proximal humeral fractures are among the most frequently fractures in the elderly. Given the increase in life expectancy and the aging of the population, their frequency is increasing gradually. Many fixation techniques are described in the treatment of surgical neck fractures of the humerus. Among them, the antegrade nailing and modified Hackethal bundle nailing conflict. We wanted to compare its in this indication.Materials and methods. We conducted a retrospective multicenter study including 105 surgical neck fractures of the humerus. 65 were treated by Telegraph nailing and 40 by modified Hackethal bundle nailing We studied the postoperative reduction and stability of the reduction in time. We also studied the complications of each technique. Results. The anterograde nailing allows better intraoperative reduction of the translation of the fracture. We did not detect significant difference in reduction of the head of the humerus or trochiterian fragment. The stability of the head in profile view was better with anterograde nailing. There was no differenceconcerning the stability of the head in anteroposterior view, the translation and the trochiterian fragment. The rate of complications was important for each technique. Discussion and conclusion. The importance of the quality of the reduction in proximal humeral fractures is now highlighted by numerous studies. The antegradenailing allows better control of the translation of the fracture and posterior displacement of the humeral head. But it is disappointing for the reduction of a trochiterian fragment.
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Master thesis
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https://hal.univ-lorraine.fr/hal-01733107
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Loïc Milin. Ostéosynthèse des fractures du col chirurgical de l'humérus par embrochage fasciculé rétrograde ou enclouage antérograde. Etude comparative rétrospective à propos de 105 cas.. Sciences du Vivant [q-bio]. 2011. ⟨hal-01733107⟩

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