Abstract

OSSIO-ORTUBE, Alvaro X.; MONASTERIOS-TERAN, Eduardo A  and  SAGARNAGA-ALCOREZA, Hugo D.. Postsurgical functional assessment in diaphysiary humerus fractures retrograde vs. Anterograde access. Cuad. - Hosp. Clín. [online]. 2021, vol.62, n.1, pp.25-32. ISSN 1562-6776.

ABSTRACT INTRODUCTION: Humeral fractures correspond to 1% to 2% of all fractures in the body. Diaphysis fracture poses radically different problems from epiphyseal fracture. The diaphyseal cancellous bone is compact, the consolidation of which occurs through mechanisms that contribute to the formation of callus of both periosteal and endosteal origin. The reduction of an epiphyseal fracture requires great precisión, while the treatment of a diaphyseal fracture should try to respect the length and axes of the bone and avoid any rotational deviation. The main objective of the research is to determine which is the access route in the endomedullary nailing of diaphyseal fractures that presents a better functional recoven/ and return to the normal ranges of movements of the compromised joint in intraoperative surgical access. METHODS: A studywasconductedin 20 patientswhomet the inclusión criteria, being a cross-sectional, descriptive, observational, non-experimental study The time limit was March 2018 to December2019. The DASH scale was used to perform the post-surgical functional assessment comparing the results of patients treated by antegrade or retrograde access. RESULTS: Comparing both techniques in the postoperative period, once the fracture was Consolidated using the DASH scale, the survey applied to the patients showed greater disability in the antegrade group with a score of 38, the retrograde group presented a score of 15.2. Asymptotic significance 0.350> 0.005.

Keywords : Fracture; humerus; retrograde; antegrade; approach.

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