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

Humerus Fracture Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06360848
• Other study ID #: IRB00001192
• Status: Completed
• Start date: January 1, 2005
• Est. completion date: January 1, 2021

Study information

• Verified date: April 2024
• Source: Ibn Jazzar Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

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.

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++).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 53
• Est. completion date: January 1, 2021
• Est. primary completion date: January 1, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

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.

Related Conditions & MeSH terms

• Humeral Fractures
• Humerus Fracture
• Pseudarthrosis

Intervention

Other:
• surgery
SURGICAL TREATMENT OF PSEUDARTHROSIS OF THE HUMERUS

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Ibn Jazzar Hospital

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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
Primary	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
Primary	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
Primary	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