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Fractures of the humerus
1Animal Medical Center, New York, New York.
The Veterinary Clinics of North America. Small Animal Practice
|January 1, 1992
Summary
External skeletal fixation is a versatile treatment for humeral fractures, offering stability and wound access. Combining it with internal fixation enhances stability and promotes bone healing.
Area of Science:
- Orthopedic surgery
- Biomedical engineering
Background:
- Humeral fractures require stable fixation and management of complex injuries.
- External fixation offers advantages in specific fracture types.
Purpose of the Study:
- To evaluate the utility of external skeletal fixation in treating humeral fractures.
- To explore the benefits of combined fixation methods.
Main Methods:
- Application of single or double bar, type I, unilateral external fixators.
- Utilizing external fixation as primary or ancillary treatment.
- Comparing combined external and internal fixation (IM pins, cerclage wires, plates) with individual methods.
Main Results:
- External fixation provides rotational stability, axial alignment, and wound access.
- It avoids vascular compromise associated with extensive surgical invasion.
- Combined fixation offers superior initial stability and facilitates bone loading.
Conclusions:
- External skeletal fixation is effective for various humeral fractures.
- It is particularly beneficial for contaminated and comminuted fractures.
- Combined fixation strategies enhance fracture repair outcomes.