Ununited fractures of the middle and upper humerus. Special problems in treatment.
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Of nine ununited fractures of the hook of the hamate, eight were treated by surgical excision of the fragment. All eight patients had relief from persistent pain and regained the preinjury level of function. This fracture occurs frequently in athletes and is often not diagnosed because it can be demonstrated only by special roentgenographic views. It is concluded that this fracture may be less rare than is commonly believed and that surgical excision permits early return of function, especially in athletes and laborers who must be able to grip hard objects strongly.
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The authors presents an analysis of clinical observations over 72 patients with pseudarthrosis and nonunited fractures of long tubular bones, in whom 73 operations of compression-distraction osteosynthesis were performed. All these patients are engaged in coal industry. For treatment the Ilizarov compression-distraction apparatus was employed in 62 patients, the Gudushauri apparatus--in 5, the apparatus of personal author's design--in 6. the results of treatment are described.
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