prikaz prve stranice dokumenta Subbrachial approach to humeral shaft fractures: new surgical technique and retrospective case series study
  Download
PDF 265.87 KB
Scientific paper - Original scientific paper
Subbrachial approach to humeral shaft fractures: new surgical technique and retrospective case series study
Canadian journal of surgery. Journal canadien de chirurgie, 56 (2013), 1; 27-34. https://doi.org/10.1503/cjs.011911
Boschi, Vladimir; Pogorelic, Zenon; Gulan, Gordan; Vilovic, Katarina; Stalekar, Hrvoje; Bilan, Kanito; Grandi, Leo

Institutional repository: Repository of the University of Rijeka, Faculty of Medicine

Cite this document

Boschi, V., Pogorelic, Z., Gulan, G., Vilovic, K., Stalekar, H., Bilan, K. & Grandi, L. (2013). Subbrachial approach to humeral shaft fractures: new surgical technique and retrospective case series study. Canadian journal of surgery. Journal canadien de chirurgie, 56. (1), 27-34. doi: 10.1503/cjs.011911

Boschi, Vladimir, et al. "Subbrachial approach to humeral shaft fractures: new surgical technique and retrospective case series study." Canadian journal of surgery. Journal canadien de chirurgie, vol. 56, no. 1, 2013, pp. 27-34. https://doi.org/10.1503/cjs.011911

Boschi, Vladimir, Zenon Pogorelic, Gordan Gulan, Katarina Vilovic, Hrvoje Stalekar, Kanito Bilan and Leo Grandi. "Subbrachial approach to humeral shaft fractures: new surgical technique and retrospective case series study." Canadian journal of surgery. Journal canadien de chirurgie 56, no. 1 (2013): 27-34. https://doi.org/10.1503/cjs.011911

Boschi, V., et al. (2013) 'Subbrachial approach to humeral shaft fractures: new surgical technique and retrospective case series study', Canadian journal of surgery. Journal canadien de chirurgie, 56(1), pp. 27-34. doi: 10.1503/cjs.011911

Boschi V, Pogorelic Z, Gulan G, Vilovic K, Stalekar H, Bilan K, and sur.. Subbrachial approach to humeral shaft fractures: new surgical technique and retrospective case series study. Canadian journal of surgery. Journal canadien de chirurgie [Internet]. 2013 [cited 2024 December 24];56(1):27-34. doi: 10.1503/cjs.011911

V. Boschi, et al., "Subbrachial approach to humeral shaft fractures: new surgical technique and retrospective case series study", Canadian journal of surgery. Journal canadien de chirurgie, vol. 56, no. 1, pp. 27-34, 2013. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:729880. [Accessed: 24 December 2024]

Metadata
Title (english)Subbrachial approach to humeral shaft fractures: new surgical technique and retrospective case series study
AuthorVladimir Boschi
AuthorZenon Pogorelic
AuthorGordan Gulan
AuthorKatarina Vilovic
AuthorHrvoje Stalekar
AuthorKanito Bilan
AuthorLeo Grandi
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Orthopedics and Physical Medicine)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Orthopedics
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract (english)
BACKGROUND: There are few surgical approaches for treating humeral shaft fractures. Here we present our results using a subbrachial approach. METHODS: We conducted a retrospective case series involving patients who had surgery for a humeral shaft fracture between January 1994 and January 2008. We divided patients into 4 groups based on the surgical approach (anterior, anterolateral, posterior, subbrachial). In all patients, an AO 4.5 mm dynamic compression plate was used. RESULTS: During our study period, 280 patients aged 30- 36 years underwent surgery for a humeral shaft fracture. The average duration of surgery was shortest using the subbrachial approach (40 min). The average loss of muscle strength was 40% for the anterolateral, 48% for the posterior, 42% for the anterior and 20% for the subbrachial approaches. The average loss of tension in the brachialis muscle after 4 months was 61% for the anterolateral, 48% for the anterior and 11% for the subbrachial approaches. Sixteen patients in the anterolateral and anterior groups and 6 patients in the posterior group experienced intraoperative lesions of the radial nerve. No postoperative complications were observed in the subbrachial group. CONCLUSION: The subbrachial approach is practical and effective. The average duration of the surgery is shortened by half, loss of the muscle strength is minimal, and patients can resume everyday activities within 4 months. No patients in the subbrachial group experienced injuries to the radial or musculocutaneous nerves.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleCanadian journal of surgery. Journal canadien de chirurgie
Numberingvol. 56, no. 1, pp. 27-34
p-ISSN1488-2310
DOIhttps://doi.org/10.1503/cjs.011911
URN:NBNurn:nbn:hr:184:729880
Publication2013
Document URLhttp://bib.irb.hr/733648
Document URLhttp://dx.doi.org/10.1503/cjs.011911
Document URLhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3569471/?report=reader
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2018-07-05 18:06:16