By Rafael Orozco, J. Miquel Sales, Miquel Videla (auth.)
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Additional resources for Atlas of Internal Fixation: Fractures of Long Bones. Classification, Statistical Analysis, Technique, Radiology
The possible associated neurovascular lesions are then repaired. The skin and muscle tissue loss is replaced by a latissimus dorsi pediculated muscle graft covered with a meshed skin graft. Once the healing is obtained, the external fixator is removed. 3 fractures. 5% of group 44% M, 56% F 34 Ref Manual of Interna! Fixation: 204 - 208, 446 - 451. Surgeon. RG. 3 Transtrochlear multifragmentary +0 These are lateral sagittal transarticular fractures of the distal humerus. 3 ). Since these are articular fractures, anatomic reduction is mandatory.
Surgeon. LO, RO. 3 Cephalotubercular fragmentation +0 ... 3% of group 49% M, 51% F 39% M, 61% F 29% M, 71% F 7 Segment 12- These are fractures of the diaphyseal segment of the humerus. 6% of the total number of surgically treated fractures. The classic textbooks indicate conservative treatment for the fractures of this humeral segment and, for several reasons, it is still a valid indication nowadays, especially for the complex fractures of the group C. These fractures are easy to align, slight shortenings or rotational malalignments do not result in significant functional impairment, healing is fast and surgery has the added risk of compromising the radial nerve pathway.
5 mm lag screw in order for it to participate in the solidity of the assembly at the time of axial compression. Autologous cancellous bone graft must be added because, generally, the third fragment is completely avascular. The ideal implant is the titanium LC-DCP plate, of a size proportionate to that of the bone, placed in the aspect of the diaphysis that will be less likely to interfere with the blood supply of the wedge, that is to say, on the side opposite to the largest cortical surface of the wedge.