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Completed

NCT Number: NCT06360848

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.

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Key information

Conditions

Humerus Fracture Arm Injuries Fractures, Bone Fractures, Ununited Humeral Fractures Pseudarthrosis Wounds and Injuries

Sex eligibility

All sexes

Study type

Observational

About this study

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++).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

SURGERY

Other

SURGICAL TREATMENT OF PSEUDARTHROSIS OF THE HUMERUS

Primary outcomes

  1. Distribution of atrophic pseudarthrosis according to technique surgical procedure used (in Number of patients)

    Time frame: a minimum follow-up of 10

    Surgical technique Screwed plate:5 Percutaneous pinning:12

  2. Distribution of hypertrophic pseudarthrosis according to technique surgical procedure used (in Number of patients)

    Time frame: a minimum follow-up of 10 months

    Surgical technique Screwed plate:4 Percutaneous pinning:9

  3. Time to consolidation depending on the type of pseudarthrosis (in months)

    Time frame: a minimum follow-up of 10 months

    Atrophic Pseudarthrosis 4.4 months Pseudarthrosis Aseptic 5.28 months Hypertrophic Pseudarthrosis 5.8 months Septic Pseudarthrosis 4.6 months

  4. Average Constant score postoperatively according to the means of restraint

    Time frame: a minimum follow-up of 10 months

    Screwed plate(24) :74 External fixator(28) :64 Nailing centromedullary(1) :69

Sponsors and collaborators

Lead sponsor

Ibn Jazzar Hospital

Other

Registry information

Important dates

Study start
2005
Primary completion
2021
Study completion
2021
First posted
Apr 11, 2024
Registry last updated
Apr 11, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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