Anterior plating as a surgical alternative in the treatment of humeral shaft non-union.

Abstract:

:This study included 15 patients with humeral shaft fractures who had no clinical, radiological or bone scan signs of healing after eight months. The patients were followed for a mean of 35.8 months. No patient was lost to follow-up. Anterior plating of humeral shaft nonunion via an anterior approach was performed using a straight plate and compression for well-vascularised non-unions and wave plating with a tricortical graft for poorly vascularised non-unions. All non-unions healed within 6-18 weeks (mean, nine weeks) without local complication. One patient had a mild decrease in elbow and shoulder range of motion. No neurovascular injury was observed. Anterior plating is a simple, safe and effective treatment for humeral shaft non-union. As this approach avoids the need for radial nerve visualisation and extensive soft-tissue dissection, and the healing time is similar to that of other methods, we suggest this treatment as an alternative option.

journal_name

Int Orthop

authors

Livani B,Belangero W,Medina G,Pimenta C,Zogaib R,Mongon M

doi

10.1007/s00264-009-0863-5

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

1025-31

issue

7

eissn

0341-2695

issn

1432-5195

journal_volume

34

pub_type

临床试验,杂志文章
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