External fixation for fracture on the surgical neck

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Reference no: EM133821068

Question

The patient fell out of a chair at the nursing home and was previously treated by closed reduction with external fixation for a fracture on the surgical neck of the right humerus. There was a malunion of the fracture in the 80-year-pld female patient, and she was admitted for an open reduction of the humerus with bone grafting. During the surgical procedure, the orthopedic surgeon harvested bone from the patient's left iliac crest. the humeral fracture site was opened and the area of malunion was osteotomized, cleaned, and repositioned. Internal fixation was accomplished with screws and the harvested bone was packed into the fracture site to replace the missing bone segment. The patient recovered from the procedure uneventfully and was discharged on the second hospital day. Other chronic conditions treated in the hospital were arteriosclerotic heart disease, chronic renal insufficiency, and type 2 diabetes mellitus. The patient was given an appointment to see the orthopedic surgeon in his office in five days and was going to be followed by home health nurses for postoperative care.

Reference no: EM133821068

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