Le fratture diafisarie dell’omero: la fissazione esterna
2017
Conservative treatment of diaphyseal humeral fractures is nowadays an effective option in terms of callogenesis and functional outcome: its selection is based on publications by Sarmiento and Rommers. However, the current trend is to provide a stable synthesis and early mobilization, leading to a quicker functional restore than that granted by conservative treatment. Therefore, endomedullary nailing (either anterograde or retrograde) and ORIF represent the gold standard. External fixation (EF) has absolute indications in case of open fractures, fractures with compromised soft tissue and multiple trauma, and represents an effective surgical option in case of closed fractures as well (both in adults and in children), thanks to its minimal invasiveness associated to good mechanical stability and functional restore.
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