External fixation for the treatment of open fractures of the proximal humerus caused by firearms
Nine patients with open fractures of the proximal humerus were treated using an external fixation device. All of them had grade III open fractures resulting from high-velocity missile and explosive injuries with massive foreign body contamination. Radial nerve injury was present in five and two mult...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2004-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2004/0370-81790404092M.pdf |
| _version_ | 1818556600448712704 |
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| author | Mirić Dragan Senohradski Kenan Starčević Branislav Đorđević Zoran |
| author_facet | Mirić Dragan Senohradski Kenan Starčević Branislav Đorđević Zoran |
| author_sort | Mirić Dragan |
| collection | DOAJ |
| description | Nine patients with open fractures of the proximal humerus were treated using an external fixation device. All of them had grade III open fractures resulting from high-velocity missile and explosive injuries with massive foreign body contamination. Radial nerve injury was present in five and two multiply injuried patients with thoracic wall and abdominal viscera were present. There were no major arterial injuries. Chronic osteitis with fistula and sequestra developed in one. There were no nonunions and no refractures. Minor painless limitation of shoulder and elbow motion presented in all patient. Upper-third humeral open fractures due to firearms are a unique type of open fractures. They are usually highly comminuted therefore, stable fixation is difficult or impossible to achieve. On the other hand, the risk of infection is high following plate fixation. External fixation allows adequate management of the soft tissue wounds, provides stable bone fixation and allows early mobilization of the shoulder and elbow. |
| first_indexed | 2024-12-13T23:49:21Z |
| format | Article |
| id | doaj.art-69f1fab0f6424adbae3a577acd4778f6 |
| institution | Directory Open Access Journal |
| issn | 0370-8179 |
| language | English |
| last_indexed | 2024-12-13T23:49:21Z |
| publishDate | 2004-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-69f1fab0f6424adbae3a577acd4778f62022-12-21T23:26:50ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792004-01-011323-4929510.2298/SARH0404092MExternal fixation for the treatment of open fractures of the proximal humerus caused by firearmsMirić DraganSenohradski KenanStarčević BranislavĐorđević ZoranNine patients with open fractures of the proximal humerus were treated using an external fixation device. All of them had grade III open fractures resulting from high-velocity missile and explosive injuries with massive foreign body contamination. Radial nerve injury was present in five and two multiply injuried patients with thoracic wall and abdominal viscera were present. There were no major arterial injuries. Chronic osteitis with fistula and sequestra developed in one. There were no nonunions and no refractures. Minor painless limitation of shoulder and elbow motion presented in all patient. Upper-third humeral open fractures due to firearms are a unique type of open fractures. They are usually highly comminuted therefore, stable fixation is difficult or impossible to achieve. On the other hand, the risk of infection is high following plate fixation. External fixation allows adequate management of the soft tissue wounds, provides stable bone fixation and allows early mobilization of the shoulder and elbow.http://www.doiserbia.nb.rs/img/doi/0370-8179/2004/0370-81790404092M.pdffractureproximal humerusfirearmexternal fixation |
| spellingShingle | Mirić Dragan Senohradski Kenan Starčević Branislav Đorđević Zoran External fixation for the treatment of open fractures of the proximal humerus caused by firearms Srpski Arhiv za Celokupno Lekarstvo fracture proximal humerus firearm external fixation |
| title | External fixation for the treatment of open fractures of the proximal humerus caused by firearms |
| title_full | External fixation for the treatment of open fractures of the proximal humerus caused by firearms |
| title_fullStr | External fixation for the treatment of open fractures of the proximal humerus caused by firearms |
| title_full_unstemmed | External fixation for the treatment of open fractures of the proximal humerus caused by firearms |
| title_short | External fixation for the treatment of open fractures of the proximal humerus caused by firearms |
| title_sort | external fixation for the treatment of open fractures of the proximal humerus caused by firearms |
| topic | fracture proximal humerus firearm external fixation |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2004/0370-81790404092M.pdf |
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