External Fixation for Severe Open Fractures of the Humerus Caused by Missiles
OBJECTIVE:To evaluate the use of external fixation of the humerus after missile injuries. DESIGN:Retrospective. SETTING:University medical center. PATIENTS:Twenty-six soldiers with twenty-six open Gustilo type III fractures. INTERVENTIONS:Immediate external fixation. MAIN OUTCOME MEASURES:Clinical,...
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| Veröffentlicht in: | Journal of orthopaedic trauma 1997-10, Vol.11 (7), p.536-539 |
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| container_title | Journal of orthopaedic trauma |
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| creator | Zinman, C Norman, D Hamoud, K Reis, N D |
| description | OBJECTIVE:To evaluate the use of external fixation of the humerus after missile injuries.
DESIGN:Retrospective.
SETTING:University medical center.
PATIENTS:Twenty-six soldiers with twenty-six open Gustilo type III fractures.
INTERVENTIONS:Immediate external fixation.
MAIN OUTCOME MEASURES:Clinical, functional, social, and rehabilitation criteria were evaluated.
RESULTS:Excellent in fourteen patients (61%), good in four (17%), fair in three (13%), and poor in two (9%). All fractures eventually healed.
CONCLUSION:External fixation is the preferred initial treatment for stabilizing severe open missile fractures of the humerus. Its use, together with radical debridement of dead bone, has reduced the incidence of chronic infection and improved the prognosis of vascular repairs. As a result, the rate of morbidity and upper limb amputation has been reduced significantly, compared with our previous experience. |
| doi_str_mv | 10.1097/00005131-199710000-00013 |
| format | Article |
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DESIGN:Retrospective.
SETTING:University medical center.
PATIENTS:Twenty-six soldiers with twenty-six open Gustilo type III fractures.
INTERVENTIONS:Immediate external fixation.
MAIN OUTCOME MEASURES:Clinical, functional, social, and rehabilitation criteria were evaluated.
RESULTS:Excellent in fourteen patients (61%), good in four (17%), fair in three (13%), and poor in two (9%). All fractures eventually healed.
CONCLUSION:External fixation is the preferred initial treatment for stabilizing severe open missile fractures of the humerus. Its use, together with radical debridement of dead bone, has reduced the incidence of chronic infection and improved the prognosis of vascular repairs. As a result, the rate of morbidity and upper limb amputation has been reduced significantly, compared with our previous experience.</description><identifier>ISSN: 0890-5339</identifier><identifier>EISSN: 1531-2291</identifier><identifier>DOI: 10.1097/00005131-199710000-00013</identifier><identifier>PMID: 9334957</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Adult ; Biological and medical sciences ; External Fixators ; Fracture Fixation - instrumentation ; Fracture Fixation - methods ; Fracture Healing ; Fractures, Open - diagnostic imaging ; Fractures, Open - surgery ; Humans ; Humeral Fractures - diagnostic imaging ; Humeral Fractures - surgery ; Injury Severity Score ; Israel ; Male ; Medical sciences ; Military Personnel ; Orthopedic surgery ; Prognosis ; Radiography ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Treatment Outcome ; Wounds, Gunshot - diagnostic imaging ; Wounds, Gunshot - surgery</subject><ispartof>Journal of orthopaedic trauma, 1997-10, Vol.11 (7), p.536-539</ispartof><rights>Lippincott-Raven Publishers</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3843-3445398de3e4e81d2b5d6717fdcf3af187d5e1313091255fb2f4083f85b42a4f3</citedby><cites>FETCH-LOGICAL-c3843-3445398de3e4e81d2b5d6717fdcf3af187d5e1313091255fb2f4083f85b42a4f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2843388$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9334957$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zinman, C</creatorcontrib><creatorcontrib>Norman, D</creatorcontrib><creatorcontrib>Hamoud, K</creatorcontrib><creatorcontrib>Reis, N D</creatorcontrib><title>External Fixation for Severe Open Fractures of the Humerus Caused by Missiles</title><title>Journal of orthopaedic trauma</title><addtitle>J Orthop Trauma</addtitle><description>OBJECTIVE:To evaluate the use of external fixation of the humerus after missile injuries.
DESIGN:Retrospective.
SETTING:University medical center.
PATIENTS:Twenty-six soldiers with twenty-six open Gustilo type III fractures.
INTERVENTIONS:Immediate external fixation.
MAIN OUTCOME MEASURES:Clinical, functional, social, and rehabilitation criteria were evaluated.
RESULTS:Excellent in fourteen patients (61%), good in four (17%), fair in three (13%), and poor in two (9%). All fractures eventually healed.
CONCLUSION:External fixation is the preferred initial treatment for stabilizing severe open missile fractures of the humerus. Its use, together with radical debridement of dead bone, has reduced the incidence of chronic infection and improved the prognosis of vascular repairs. As a result, the rate of morbidity and upper limb amputation has been reduced significantly, compared with our previous experience.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>External Fixators</subject><subject>Fracture Fixation - instrumentation</subject><subject>Fracture Fixation - methods</subject><subject>Fracture Healing</subject><subject>Fractures, Open - diagnostic imaging</subject><subject>Fractures, Open - surgery</subject><subject>Humans</subject><subject>Humeral Fractures - diagnostic imaging</subject><subject>Humeral Fractures - surgery</subject><subject>Injury Severity Score</subject><subject>Israel</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Military Personnel</subject><subject>Orthopedic surgery</subject><subject>Prognosis</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><subject>Wounds, Gunshot - diagnostic imaging</subject><subject>Wounds, Gunshot - surgery</subject><issn>0890-5339</issn><issn>1531-2291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1v3CAQQFGVKtmk_QmVOES5uQUGYjhWq2xSKVEObc8I24PWDWtvGTsf_z6ku9lbkRCCeTOjeTDGpfgqhau_ibKMBFlJ52r5dqvKlvCBLaQpz0o5ecQWwjpRGQB3wk6J_hTECqWO2bED0M7UC3Z39TxhHkLiq_45TP048Dhm_hMfMSO_3-LAVzm005yR-Bj5tEZ-M28wz8SXYSbsePPC73qiPiF9Yh9jSISf9-cZ-726-rW8qW7vr38sv99WLVgNFWhtwNkOATVa2anGdJe1rGPXRghR2rozWKYD4aQyJjYqamEhWtNoFXSEM3axq7vN498ZafKbnlpMKQw4zuRrB_qytCig3YFtHokyRr_N_SbkFy-FfzPp3036g0n_z2RJ_bLvMTcb7A6Je3Ulfr6PB2pDijkMbU8HTJVBwdqC6R32NKZimh7S_ITZrzGkae3_94_wCk_3iUo</recordid><startdate>199710</startdate><enddate>199710</enddate><creator>Zinman, C</creator><creator>Norman, D</creator><creator>Hamoud, K</creator><creator>Reis, N D</creator><general>Lippincott-Raven Publishers</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199710</creationdate><title>External Fixation for Severe Open Fractures of the Humerus Caused by Missiles</title><author>Zinman, C ; Norman, D ; Hamoud, K ; Reis, N D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3843-3445398de3e4e81d2b5d6717fdcf3af187d5e1313091255fb2f4083f85b42a4f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>External Fixators</topic><topic>Fracture Fixation - instrumentation</topic><topic>Fracture Fixation - methods</topic><topic>Fracture Healing</topic><topic>Fractures, Open - diagnostic imaging</topic><topic>Fractures, Open - surgery</topic><topic>Humans</topic><topic>Humeral Fractures - diagnostic imaging</topic><topic>Humeral Fractures - surgery</topic><topic>Injury Severity Score</topic><topic>Israel</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Military Personnel</topic><topic>Orthopedic surgery</topic><topic>Prognosis</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><topic>Wounds, Gunshot - diagnostic imaging</topic><topic>Wounds, Gunshot - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zinman, C</creatorcontrib><creatorcontrib>Norman, D</creatorcontrib><creatorcontrib>Hamoud, K</creatorcontrib><creatorcontrib>Reis, N D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of orthopaedic trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zinman, C</au><au>Norman, D</au><au>Hamoud, K</au><au>Reis, N D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>External Fixation for Severe Open Fractures of the Humerus Caused by Missiles</atitle><jtitle>Journal of orthopaedic trauma</jtitle><addtitle>J Orthop Trauma</addtitle><date>1997-10</date><risdate>1997</risdate><volume>11</volume><issue>7</issue><spage>536</spage><epage>539</epage><pages>536-539</pages><issn>0890-5339</issn><eissn>1531-2291</eissn><abstract>OBJECTIVE:To evaluate the use of external fixation of the humerus after missile injuries.
DESIGN:Retrospective.
SETTING:University medical center.
PATIENTS:Twenty-six soldiers with twenty-six open Gustilo type III fractures.
INTERVENTIONS:Immediate external fixation.
MAIN OUTCOME MEASURES:Clinical, functional, social, and rehabilitation criteria were evaluated.
RESULTS:Excellent in fourteen patients (61%), good in four (17%), fair in three (13%), and poor in two (9%). All fractures eventually healed.
CONCLUSION:External fixation is the preferred initial treatment for stabilizing severe open missile fractures of the humerus. Its use, together with radical debridement of dead bone, has reduced the incidence of chronic infection and improved the prognosis of vascular repairs. As a result, the rate of morbidity and upper limb amputation has been reduced significantly, compared with our previous experience.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>9334957</pmid><doi>10.1097/00005131-199710000-00013</doi><tpages>4</tpages></addata></record> |
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| ispartof | Journal of orthopaedic trauma, 1997-10, Vol.11 (7), p.536-539 |
| issn | 0890-5339 1531-2291 |
| language | eng |
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| subjects | Adult Biological and medical sciences External Fixators Fracture Fixation - instrumentation Fracture Fixation - methods Fracture Healing Fractures, Open - diagnostic imaging Fractures, Open - surgery Humans Humeral Fractures - diagnostic imaging Humeral Fractures - surgery Injury Severity Score Israel Male Medical sciences Military Personnel Orthopedic surgery Prognosis Radiography Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome Wounds, Gunshot - diagnostic imaging Wounds, Gunshot - surgery |
| title | External Fixation for Severe Open Fractures of the Humerus Caused by Missiles |
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