METHOD OF OSTEOSYNTHESIS OF SUPRACONDULAR FRACTURES OF THE HUMERUS

A treatment of fractures of distal metadiaphysis of the humeral bone remains an actual problem of modern traumatology at present time. This is associated with immediate proximity of the radial nerve and risk of iatrogenic injury in external fixation, presence of short distal fragment, comminuted nat...

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Main Authors: V. A. Neverov, S. N. Chernyaev, D. V. Shinkarenko
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2015-10-01
Series:Вестник хирургии имени И.И. Грекова
Subjects:
Online Access:https://www.vestnik-grekova.ru/jour/article/view/116
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author V. A. Neverov
S. N. Chernyaev
D. V. Shinkarenko
author_facet V. A. Neverov
S. N. Chernyaev
D. V. Shinkarenko
author_sort V. A. Neverov
collection DOAJ
description A treatment of fractures of distal metadiaphysis of the humeral bone remains an actual problem of modern traumatology at present time. This is associated with immediate proximity of the radial nerve and risk of iatrogenic injury in external fixation, presence of short distal fragment, comminuted nature of fracture, complexity of treatment method selection, need of extensible approach. Biomechanical features of different fixators were analyzed in consideration of presence of short distal fragment, traumatic of external fixation and risk of iatrogenic injury of the nerve. The authors suggested the method of osteosynthesis of the humerus by using blocking osteosynthesis with preliminary extension of intra-medullary canal of distal fragment for obtaining stable osteosynthesis (priority № 2014105323 from 14.02.2014). The proposed method allowed avoiding the iatrogenic neuropathy of the radial nerve, providing the stability of fixation higher, than in case of external fixation. It excludes the need of external immobilization and combines the period of bony union with the period of rehabilitation and socially integrates the patient in minimal terms.
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series Вестник хирургии имени И.И. Грекова
spelling doaj-art-e7336abfd73e402091e489190598e9fb2025-08-20T03:45:08ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252015-10-011745454910.24884/0042-4625-2015-174-5-45-49115METHOD OF OSTEOSYNTHESIS OF SUPRACONDULAR FRACTURES OF THE HUMERUSV. A. Neverov0S. N. Chernyaev1D. V. Shinkarenko2I. I. Mechnikov North-Western State Medical University; Municipal Mariinskiy hospitalI. I. Mechnikov North-Western State Medical University; Municipal Mariinskiy hospitalMunicipal Mariinskiy hospitalA treatment of fractures of distal metadiaphysis of the humeral bone remains an actual problem of modern traumatology at present time. This is associated with immediate proximity of the radial nerve and risk of iatrogenic injury in external fixation, presence of short distal fragment, comminuted nature of fracture, complexity of treatment method selection, need of extensible approach. Biomechanical features of different fixators were analyzed in consideration of presence of short distal fragment, traumatic of external fixation and risk of iatrogenic injury of the nerve. The authors suggested the method of osteosynthesis of the humerus by using blocking osteosynthesis with preliminary extension of intra-medullary canal of distal fragment for obtaining stable osteosynthesis (priority № 2014105323 from 14.02.2014). The proposed method allowed avoiding the iatrogenic neuropathy of the radial nerve, providing the stability of fixation higher, than in case of external fixation. It excludes the need of external immobilization and combines the period of bony union with the period of rehabilitation and socially integrates the patient in minimal terms.https://www.vestnik-grekova.ru/jour/article/view/116supracondular fractures of the humerusblocking osteosynthesis
spellingShingle V. A. Neverov
S. N. Chernyaev
D. V. Shinkarenko
METHOD OF OSTEOSYNTHESIS OF SUPRACONDULAR FRACTURES OF THE HUMERUS
Вестник хирургии имени И.И. Грекова
supracondular fractures of the humerus
blocking osteosynthesis
title METHOD OF OSTEOSYNTHESIS OF SUPRACONDULAR FRACTURES OF THE HUMERUS
title_full METHOD OF OSTEOSYNTHESIS OF SUPRACONDULAR FRACTURES OF THE HUMERUS
title_fullStr METHOD OF OSTEOSYNTHESIS OF SUPRACONDULAR FRACTURES OF THE HUMERUS
title_full_unstemmed METHOD OF OSTEOSYNTHESIS OF SUPRACONDULAR FRACTURES OF THE HUMERUS
title_short METHOD OF OSTEOSYNTHESIS OF SUPRACONDULAR FRACTURES OF THE HUMERUS
title_sort method of osteosynthesis of supracondular fractures of the humerus
topic supracondular fractures of the humerus
blocking osteosynthesis
url https://www.vestnik-grekova.ru/jour/article/view/116
work_keys_str_mv AT vaneverov methodofosteosynthesisofsupracondularfracturesofthehumerus
AT snchernyaev methodofosteosynthesisofsupracondularfracturesofthehumerus
AT dvshinkarenko methodofosteosynthesisofsupracondularfracturesofthehumerus