RESUMEN
Early results after conservative or operative treatment of 15 patients (6 females, 9 males) for contracture of the elbow are presented. The correction achieved has been evaluated by Mayo Elbow Performance Index and by range of flexion and extension movement. Immobilization of the injured elbow should be as short as possible, fixed deformity is an indication for surgery. Resulting contracture of the elbow depends not only on injury severity but on the type of treatment also. One case has been discussed.
Asunto(s)
Contractura/etiología , Contractura/cirugía , Codo/cirugía , Adolescente , Adulto , Contractura/diagnóstico , Femenino , Estudios de Seguimiento , Humanos , Inmovilización , Puntaje de Gravedad del Traumatismo , MasculinoRESUMEN
A series of 42 patients operated on due to humeral shaft fracture and 67 patients with forearm bones shaft fracture were analyzed clinically and statistically. The type of fracture was related to the time span between injury and surgery and number of complications. Complications were divided into two groups--early ones (skin necrosis, infection) and late ones (fixation failure, delayed union, pseudoarthrosis). Injury to surgery time span was divided into for sections: less than 10 h, 10-24 h, 24 h-10 d and above 10 days. Early and late complications prevailed in patients operated within 24 hours from injury (87% of all complications). Eleven patients with humeral fracture had fair or poor result; 8 of them were operated within 24 hours from injury. Among 18 patients with fair and poor results after forearm fracture 13 were operated on within 24 hours from injury.
Asunto(s)
Traumatismos del Antebrazo/cirugía , Fijación Interna de Fracturas/efectos adversos , Fracturas del Húmero/cirugía , Estudios de Seguimiento , Fracturas no Consolidadas/etiología , Humanos , Necrosis , Seudoartrosis/etiología , Piel/patología , Infección de la Herida Quirúrgica/etiología , Factores de Tiempo , Resultado del TratamientoRESUMEN
Remote results of hand injuries in 78 patients (93% males, 7% females) aged 16-82 (mean 39 years) were analyzed statistically and economically. Injuries sustained at work constituted 61%. All patients were operated on emergency basis, hospital stay ranged 1-93 days (mean 14 days). Further treatment on an outpatient basis lasted 4.5 months on an average. According to own 3-grade scale 24% results were rated good, 33%-fair and 43%-poor. Fifty-one per cent of patients resumed previous occupation, 17% found less demanding work and 15% were unable to work. Accident compensation fund was granted to 56% of patients. Great social cost of hand injuries is underlined in the paper.