RESUMO
In 2020, the most common treatment for presumed aseptic non-union of the humeral shaft seems to be decortication, often associated with bone autografting, and stabilized by a screw plate. We propose to evaluate an original technique of rigid osteosynthesis combining intramedullary nailing and screw plate. Between January 2004 and January 2020, 45 patients underwent treatment of presumed aseptic non-union of the humeral shaft by osteosynthesis combining intramedullary nailing and a screw plate. The minimum radio-clinical follow-up was one year postoperatively. The series included 19 men and 26 women with a mean age of 53 years (range 19-84 years). Bone consolidation was achieved in 43 patients, a rate of 95.5%. Comparing patients who achieved bone consolidation with the two failed consolidations did not reveal any statistically significant factor. Interobserver agreement was almost perfect (k=0.93) for the use of the RUST for humeral shaft fractures treated with intramedullary nailing and screw plate. In our study, the treatment of presumed aseptic non- union of the humeral shaft with an osteosynthesis combining intramedullary nailing and screw plate gives, with 95.5% of bone consolidation, results equal to or even superior to the different treatments currently described in the literature.
Assuntos
Placas Ósseas , Parafusos Ósseos , Fixação Intramedular de Fraturas , Fraturas não Consolidadas , Fraturas do Úmero , Humanos , Pessoa de Meia-Idade , Masculino , Adulto , Feminino , Fixação Intramedular de Fraturas/instrumentação , Fixação Intramedular de Fraturas/métodos , Idoso , Fraturas do Úmero/cirurgia , Idoso de 80 Anos ou mais , Fraturas não Consolidadas/cirurgia , Adulto Jovem , Estudos Retrospectivos , Fixação Interna de Fraturas/métodos , Fixação Interna de Fraturas/instrumentação , Consolidação da FraturaRESUMO
The hypolipaemising action of thiadenol (Eulip) was evaluated in a mixed groups of patients with various forms of hyperdyslipidaemia and cardiovascular complications. Mention is made of the administration modalities adopted. The results obtained shows that the drug is significant with regard to blood triglyceride levels in patients in groups IV and II B, and to a lesser, though by no meansnegligible, extent with regard to total cholesterol in II A and II B patients. No signs of intolerance or side-effects were noted, even when anticoagulants were also being administered.
