Experience of a Tertiary Hospital in the Management of Humerus Fractures

Authors

  • Hemanuelli Samia de Aguiar Barreto Médica Residente em Cirurgia da Mão, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto - SP, Brasil https://orcid.org/0000-0003-4951-7548
  • Willer Fellipe Thibério Médico Residente em Ortopedia e Traumatologia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto - SP, Brasil https://orcid.org/0000-0002-1045-9929
  • Rodrigo Delfino Di-Sicco Médico Residente em Ortopedia e Traumatologia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto - SP, Brasil
  • Gustavo Concon de-Castro Médico Residente em Ortopedia e Traumatologia no Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto - SP, Brasil https://orcid.org/0000-0002-9458-6588
  • Luis Guilherme Rosifini Alves Rezende Cirurgião da Mão, Médico Assistente, Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (FMRP-USP)/ Preceptor da Residência Médica de Cirurgia da Mão, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP) 14049-900 Ribeirão Preto - SP, Brasil https://orcid.org/0000-0002-2037-0135
  • Nilton Mazzer Professor Titular, Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (FMRP-USP) Chefe do Serviço de Cirurgia da Mão do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HC-FMRP-USP) 14049-900 Ribeirão Preto - SP, Brasil

DOI:

https://doi.org/10.21270/archi.v12i7.6211

Keywords:

Humeral Fractures, Radial Nerve, Frature Fixation, Internal

Abstract

Background: Fractures of the humerus present different trauma mechanisms distributed according to the complexity of the associated injuries. These factors include the pattern of bone comminution, the personality of the fracture, and soft tissue injuries, such as injuries to neurovascular structures and skin coverage failures. This study presents the complexity of humeral fractures in a tertiary hospital and the alternatives for their management. Methods: Retrospective study based on data from the medical records of patients undergoing surgical treatment for humeral fractures from January 2017 to December 2022 in a tertiary hospital. Results: We observed a tendency in males (p=0.059) greater for fractures of the humeral shaft, with a statistical difference for age (p=0.01) with 42 years in men and 53 years in women. There was no statistical difference in the severity of fractures in the proximal humerus (p=0.365), with a statistical difference in the complexity of fractures in the distal portion (p=0.001). The average time until definitive osteosynthesis influenced the complication cutoff point (p=0.02). The overall reoperation rate was 18.7%, higher in proximal and distal humerus cases for infection. There was a statistical difference for radial nerve injury in diaphyseal fractures (p=0.001). Conclusion: our results corroborate findings in the literature with slight alterations in the epidemiological distribution pattern and the pattern of complications. However, we observed that the time for definitive osteosynthesis can influence the results, although it depends on the patient's clinical and soft tissue stabilization. However, more studies are needed with control groups.

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Published

2023-07-31

How to Cite

Barreto, H. S. de A., Thibério, W. F., Di-Sicco, R. D., de-Castro, G. C., Rezende, L. G. R. A., & Mazzer, N. (2023). Experience of a Tertiary Hospital in the Management of Humerus Fractures. ARCHIVES OF HEALTH INVESTIGATION, 12(7), 1513–1518. https://doi.org/10.21270/archi.v12i7.6211

Issue

Vol. 12 No. 7 (2023)

Section

Original Articles