PECULIARITIES OF THE TREATMENT APPROACH FOR HUMERAL DIAPHYSIS FRACTURES IN PATIENTS WITH COMORBIDITIES

Abstract

Humeral diaphysis fractures are one of the frequent components of the low-energy trauma in people of different age and gender groups with comorbid pathology. Pathological autoimmune and trophic processes that disrupt the reparative capabilities of the body have a negative impact on the formation of connective tissue. The purpose of this study is to identify the peculiarities of the treatment for humeral diaphysis fractures in patients with comorbid pathology. Methods and Material. 42 patients with humeral diaphysis fractures, aged 18 to 88 years, have been involved in the study. All patients were diagnosed to have comorbid pathology affecting the regenerative processes of bone and connective tissues. Type 1 and Type 2 diabetes mellitus was diagnosed in 71.4% (30) and 28.6% (12) patients, respectively. In 28.8% (12) cases, erythrodermic psoriasis without psoriatic arthro- and enthesopathies was diagnosed. The treatment for humeral diaphysis fractures in all studied cases was carried out using the surgical techniques. Results and Discussion. 2 clinical groups of patients were distinguished depending on the applied method of osteosynthesis. The evaluation of the treatment outcomes was carried out according to a number of parameters, namely the presence of complications of combined genesis during the healing of postoperative wounds and prolongation of the repair phase for fracture consolidation and bone callus formation. Conclusions. The risk for postoperative complications among patients with injuries of the humeral diaphysis with underlying erythrodermic psoriasis and Type1 and Type 2 diabetes mellitus can be reduced by minimizing the surgical interventions and applying minimally invasive surgery.