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The nail was made of stainless steel and locked with one or two screws in each fragment (depending on the site of fracture) (Figure ?(Figure3)3) or with one or two screws in the proximal fragment and expandable tip in the distal one (Figure ?(Figure44). Figure 3 Osteosynthesis with locked centromedullary nail �C postoperative X-ray view Figure 4 Osteosynthesis with expandable centromedullary nail �C postoperative X-ray view After surgery the arm was put at rest in a splint for 7 to 14 days depending on the surgical procedure and intensity [http://www.selleckchem.com/screening/pi3k-signaling-inhibitor-library.html PI3K Inhibitor Library in vivo] of pain. Intermittent physical rehabilitation was started for both shoulder and elbow at 7 days postoperatively. Clinical and radiological check-ups were done at 6, 12 and 16 weeks after surgery. Clinical exa?mination referred to shoulder and elbow range of motion and neurological examination. Radiological examination considered fracture alignment and stability and progression of fracture union. The function of shoulder and elbow were assessed using the Oxford Shoulder Score (OSS) and Oxford Elbow Score (OES). Operating time, duration of hospital stay, complications and moment of union were recorded. Statistical analysis was performed and the differences were considered significant if the p value was ? RESULTS At six months after surgery the average OSS was 44.42 in Group1 and 40.23 in Group II (p>0.05), while [http://www.selleckchem.com/products/Sunitinib-Malate-(Sutent).html Sunitinib solubility dmso] the mean OES was 40.88 in Group 1 and 46.54 in Group 2 (p>0,05). The average duration of the surgical procedure was 87 min in Group1 and 43 min in the IMN group (p0.05). The rate of radial palsy was 2.44% (2 cases/ 82 patients) in Group 1 and 0.98% (1 case /102 patients) in Group 2 (p>0.05). All the postoperative radial nerve palsies were transient and fully recovered at six months. Sepsis was present in 3 cases / 82 patients (3.66%) in Group 1 and 0 cases / 102 patients (0%) (p[https://en.wikipedia.org/wiki/Fossariinae Fossariinae] still treated by conservative methods, especially in some elderly patients who might present a high risk for anesthesia. Jawa et al (1) published a retrospective study, comparing the values of conservative and surgical treatment. Functional bracing can be quiet uncomfortable at least at the beginning of immobilization period. In terms of bone union, most of the authors report very good results, better then after surgical treatment, even if the healing may be accompanied by a variable degree of misalignment.

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Scenecold6 : Page créée avec « The nail was made of stainless steel and locked with one or two screws in each fragment (depending on the site of fracture) (Figure ?(Figure3)3) or with one or two screws ... »