Abstract:
:Twenty-one patients having proximal ulna nonunion were treated with contoured plating. The most proximal hole received an intramedullary 6.5-mm cancellous lag screw that extends fixation of the nonunion site. Mean age of the patients was 41.7 years. Average follow-up period was 22 months. Union occurred in 19 cases after a mean of 9.6 weeks. Complications were persistent nonunion in two cases, a stiff elbow in one, hardware prominence in two, and a 1 x 1-cm ulcer over the curve of the plate in one case. The two unsatisfactory results were related to ulnohumeral arthritis. In conclusion, augmentation of the contoured plate with a 6.5-mm intramedullary cancellous lag screw creates a stable construct in treatment of proximal ulna nonunion. It applies axial compression, resists bending forces on the dorsal plate and allows early mobilization after surgery, regardless of the size of the proximal fragment.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Khalil A,Elsayed M,Seleem Odoi
10.1007/s00264-009-0809-ysubject
Has Abstractpub_date
2010-03-01 00:00:00pages
441-5issue
3eissn
0341-2695issn
1432-5195journal_volume
34pub_type
临床试验,杂志文章abstract::Cementless acetabular components require good initial fixation to allow bony in-growth. The initial press-fit stability, important for designs that do not rely on supplemental fixation, was examined for three designs with different porous coating systems: beads, fiber mesh, and plasma spray. The ability to withstand t...
journal_title:International orthopaedics
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1998-01-01 00:00:00
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更新日期:2012-09-01 00:00:00
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journal_title:International orthopaedics
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更新日期:1999-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
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更新日期:2005-10-01 00:00:00
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更新日期:2017-08-01 00:00:00
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pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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更新日期:2010-12-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,已发布勘误
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