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Vesults gn Pejsdgj Fcj` [drdjk cj`Icjiellgus YirewDj

tme Acjckeaejt gn Gl` @dsplcie` Djterigj`ylcr Nrciture gn C`ult Muaerus.

@r. R. I. @efjctm3,

@r. Yye` Ymcmd`ul Dslca6,

@r. A`. Yufdr Mgsscdj9,

@r. A` Jczrul Dslca0.

3. Cssgidcte prgnessgr AY!grtmg", Ymcmee` Yurmcwcr`y Ae`dicl iglleke Mgspdtcl. @mcoc.6. Hujdgr igjsultcjt"AY!grtmg", Ymcmee` Yurmcwcr`y Ae`dicl iglleke Mgspdtcl. @mcoc.9. Cssdstcjt Vekdstrcr !grtmg", Ymcmee` Yurmcwcr`y Ae`dicl iglleke Mgspdtcl. @mcoc.0. Vesd`ejt Yurkegj, Ymcmee` Yurmcwcr`y Ae`dicl iglleke Mgspdtcl. @mcoc. Fcjklc`esm.

Cfstrcit

!Elevej (33) pctdejts gn agre tmcj >(sdx) weeos gl` `dsplcie`Djterigj`ylcr Nrciture gn Muaerus dj c`ult were trecte` fy gpejre`uitdgj cj` djterjcl ndxctdgj wdtm O wdre cj` Icjiellgus Yirew.

Prectaejt gn `dsplcie` djterigj`ylcr nrciture gn muaerus fy GVDN wdtmtejsdgj fcj` wdrdjk ds c imcllejkdjk prgflea. Gut gn 33(elevej) icses9(tmree) icses smgwe` exiellejt result, 5(ndve) icses smgwe` kgg`result, 6(twg) icses smgwe` ncdr result cj` 3(gje) mc` lgst.Pmengllgwup perdg` wcs >(sdx) agjtms tg 6(Pwg) yecrs tme cvercke fedjk3(gje) yecr cj` (9) tmree agjtms.

8/14/2019 Old Humerus fracture Management- Adult : Tension Band Wiring and Cancellous Screw In the Management of Old

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Djtrg`uitdgj

Gl` cj` `dsplcie` djterigj`ylcr nrciture dj c`ult presejt tme agst `dnndiult

imcllejke gn tme nrciture gn tme lgwer ej` gn tme muaerus. Dj `dsplcie`reiejt nrciture igjservctdve trectaejt fy trcitdgj cj` acjdpulctdveigapressdgj acy melp tg re`uie cj` sgaetdae fe acjcke` fut dj gl`cj` `dsplcie` nrciture dt ds acj`ctcry tg `g gpej re`uitdgj.Dj tmds serdesgperctdve trectaejt igjsdst gn gpej re`uitdgj cj` djterjcl ndxctdgj fytejsdgj fcj` wdrdjk wdtm gr wdtmgut icjiellgus sirew ndxctdgj. Icses mc`feej seleite` nrga krgup I gn CYDN krgup (Auller et cl.3443) rcj`galycj` evclucte` dj respeit tg stcfdldty,pcdj, agfdldty cj` `engradty

sukkeste` fy Fdioel cj` perry.

Acterdcls cj` Aetmg`

Pme stu`y mc` feej icrrde` gut dj tme Ymcmee` Yurmcwcr`y Ae`dicliglleke mgspdtcl cj` @r Czagl Mgspdtcl `urdjk tme perdg` gn Huly 622>tg Huje 622=.33(elevej) pctdejts were djilu`e` dj tme serdes. Pmerewere ;(sevej)>9.>0% gn neacle cj` 0(ngur) 9>.9>% acle cj` cvercke

cke wcs 96(tmdrty twg) rcjkdjk nrga 6>-9= yecrs. Lent sd`e`djvglveaejt wcs >(sdx) cj` rdkmt sd`e` wcs (5) pctdejts. Pme icuse gndjhury wcs rgc` trcnndi ciid`ejt cj` ncll nrga medkmt.

Cpprgcim

!Icapfells pgsterdgr cpprgcim wcs use` dj tme serdes. Nrckaejtswere kejtly ilecje` cj` cppgse` cj` ndxe` wdtm O wdre fengreicjiellgus sirew ndxctdgj.

!Pejsdgj fcj` wdrdjk were cpplde` tmrgukm ae`dcl cj` lcterclepdigj`yl tg tme `dstcl muaerus.wguj` wcs ilgse` dj lcyers oeepdjkc `rcdj wmdim wcs reagve` cnter 0= mgurs.Lgjk cra fcio slcf wcscpplde` cnter tme ej` gn gperctdgj.

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Ngllgw up8Ct 32tm pgst gperctdve `cy cll stdimes were reagve`. Ct 0tmweeo plcster wcs reagve` cj` citdve agveaejt wcs stcrte`.

Vesults

!Pme results were cjclyze` gj tme fcsds gn ildjdicl cj` rc`dglgkdiclndj`djks. Cll icses were ujdte`. Exiellejt result wcs seej dj 9(6;.6;%)icses cj` kgg` result wcs seej dj 5(05.05) icses. Yctdsncitgry resultwcs seej dj ;6.;9% icses wmere ncdr result wcs seej dj 6(3=.3=% )icses. Gje icse mc` lgst nrga tme serdes. Yuperndidcl sodj djneitdgj wcsseej dj 6(twg) icses wmdim wcs daprgve` cnter twg weeos. Gje icsesmgwe` uljcr jeurgprexdc wmdim igapletely reigvere` cnter sdx weeos

cj` cjgtmer mc` `eep secte` sepsds ej`e` dj stdnnjess gn tme elfgw.Rctdejt-3

Rgst gperctdve ]-Vcy, Rctdejt83

Rregperctdve ]-Vcy, Rctdejt83

Ydx agjtms cnter gperctdgj

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Rctdejt-6

Rregperctdve ]-Vcy, Rctdejt8 6 Rgstgperctdve ]-Vcy, Rctdejt8 6

Rgstgperctdve8 Agveaejt

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Igjilusdgj8

Gl` `dsplcie` djterigj`ylcr nrciture ds c `dnndiult prgflea dj

acjckeaejt tmgukm ciute `dsplcie` nrciture icj fe acjcke`enndidejtly fy gpej re`uitdgj cj` rdkd` ndxctdgj. Rrevdgusly gl` djterigj`ylcrnciture wcs jgt usuclly acjcke` surkdiclly cj` ej` wdtm stdnn elfgw fut dtds seej tmct gpej re`uitdgj cj` djterjcl ndxctdgj wdtm tejsdgj fcj` wdrdjkwdtm gr wdtmgut icjiellgus sirew kdves kgg` tg exiellejie result dj ;9%icses cs ecrly agveaejt icj fe kdvej fy tejsdgj fcj` wdrdjk tmcj plctecj` sirew.

Venerejies8

3. K.Pkcfel,K.Mcjscj,H.F. Fejjett,R.I.Jgfle cj` M Y Pullgs,djtrccrtdiulcrnrciture gn tme `dstclmuaerus dj c`ult.ildj Grtmg.63>(34=;),pp.44-32=

6. ^.Lichc,C.Agrgjd,^.^ej`eadc ,I.scfctg cj` K.Xdjkmd,Yurkdicl trectaejtgn fdigj`ylcr nrciture gn tme `dstcl muaerus. Djhury 65 ;(3440),pp.099-09=.

9. Cpleys Yystea gn Grtmgpce`dis cj` nrcitures.=tme`dtdgj .6223 >20->250. Frgwj VN, Agrkcj VK. Djterigj`ylcr P-smcpe` nrcitures gn tme muaerus 8

results dj tej icses trecte` fy ecrly agfdldsctdgj. H FgjeHgdjt Yurk _FrQ D4; 3 ? 59-F 8065-=.

5. Hupdter HF, Jenn U, Mglzcim R, Cllk#{60>}werA. Djterigj`ylcr nrcitures gntme muaerus 8 cj gperctdve cpprgcim. H Fgje Hgdjt Yurk _CaH 34=? >;-C866>-94.

>. Auller AE, Cllk#{60>}werA, Yimjed`er V, [dllejekker M. Acjucl gndjterjcl ndxctdgj 8 teimjdques reigaaej`e` tme CG Krgup. 6j` e`.Ferldj,eti8 Yprdjker-^erlck, 34;4.

;. Vedim VY. Prectaejt gn djterigj`ylcr nrcitures gn tme elfgw fy aecjs Gntrcitdgj. H Fgje Hgdjt Yurk 349>8 3=844;-3220. [c`swgrtm PK. C`ulttrcuac. Dj 8 [c`swgrtm PK, e`. Pme elfgw.E`djfurkm, eti 8 Imurimdll Ldvdjkstgje, 34=68342-666.