Surgical Treamtment of Pseudarthrosis of the Humerus (Study of a Series of 53 Cases)

Pseudarthrosis of the humerus is a serious complication of humerus fractures, of particular interest to subjects young working people with pseudoarthrogenic risk factors (tobacco++). It represents a real problem therapeutic given the long period of treatment, its disabling socio-professional repercussions and the cost which resulting.

The aim of our work is to evaluate the anatomical and functional results of different surgical techniques. used.

Study Overview

• Status: Completed
• Conditions: Humerus Fracture
• Intervention / Treatment: Other: surgery

Detailed Description

The management of pseudarthrosis of the humerus remains a subject of controversy. Given our results, the investigators think that osteosynthesis by plate associated with bone grafting and/or decortication remains the most suitable for the treatment of aseptic pseudarthroses of the humeral shaft while treatment with Ilizarov is most appropriate in septic pseudarthrosis.

However, the best treatment for pseudarthrosis of the humerus remains that of treating the initial fracture. and better control of pseudoarthrogenic risk factors (tobacco++).

• Study Type: Observational
• Enrollment (Actual): 53

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

53 cases. of pseudarthrosis of the humeral shaft collected at the surgery department orthopedic and traumatology

Description

Inclusion Criteria:

• - Adult men and women > 18 years old with pseudarthrosis of the post-fractured humeral diaphysis treated in the orthopedic surgery and traumatology department.

Exclusion Criteria:

• - Unusable files.
• Patients lost to follow-up.
• Patients who did not accept therapeutic treatment.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Distribution of atrophic pseudarthrosis according to technique surgical procedure used (in Number of patients)	Surgical technique Screwed plate:5 Percutaneous pinning:12	a minimum follow-up of 10
Distribution of hypertrophic pseudarthrosis according to technique surgical procedure used (in Number of patients)	Surgical technique Screwed plate:4 Percutaneous pinning:9	a minimum follow-up of 10 months
Time to consolidation depending on the type of pseudarthrosis (in months)	Atrophic Pseudarthrosis 4.4 months Pseudarthrosis Aseptic 5.28 months Hypertrophic Pseudarthrosis 5.8 months Septic Pseudarthrosis 4.6 months	a minimum follow-up of 10 months
Average Constant score postoperatively according to the means of restraint	Screwed plate(24) :74 External fixator(28) :64 Nailing centromedullary(1) :69	a minimum follow-up of 10 months

Collaborators and Investigators

• Sponsor: Ibn Jazzar Hospital

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2005
• Primary Completion (Actual): January 1, 2021
• Study Completion (Actual): January 1, 2021

Study Registration Dates

• First Submitted: March 26, 2024
• First Submitted That Met QC Criteria: April 8, 2024
• First Posted (Actual): April 11, 2024

Study Record Updates

• Last Update Posted (Actual): April 11, 2024
• Last Update Submitted That Met QC Criteria: April 8, 2024
• Last Verified: April 1, 2024

More Information

Terms related to this study

• Keywords: humerus; pseudarthrosis; external fixator; screwed plate
• Additional Relevant MeSH Terms: Fractures, Bone; Wounds and Injuries; Arm Injuries; Fractures, Ununited; Humeral Fractures; Pseudarthrosis
• Other Study ID Numbers: IRB00001192

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No