Compression Plate Fixation with Autogenous Bone Graft for Humerus Shaft Nonunion.
- Author:
Chul Hyun CHO
1
;
Kwang Soon SONG
;
Ki Cheor BAE
;
In Kyoo KIM
;
Doo Hyun KWON
Author Information
1. Department of Orthopedic Surgery, School of Medicine, Keimyung University, Daegu, Korea. bkc@dsmc.or.kr
- Publication Type:Original Article
- Keywords:
Humerus shaft;
Nonunion;
Compression plate fixation;
Autogenous bone graft
- MeSH:
Follow-Up Studies;
Humans;
Humerus;
Transplants
- From:Journal of the Korean Shoulder and Elbow Society
2009;12(1):33-37
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the results of the compression plate fixation and autogenous bone graft in the management of humerus shaft nonunion. MATERIALS AND METHODS: Eighteen cases were treated for humerus shaft nonunion using compression plate fixation and an autogenous iliac bone graft. The mean follow-up period was 28 months. Bony union was confirmed from the serial radiographs and the clinical outcomes were assessed according to ASES scoring system. RESULTS: In 12 cases of initial plate fixation, the causes of nonunion were 6 cases of inadequate plate length, 2 with a broken plate, 2 with screw loosening, 1 infection and 1 noncompliance of a psychiatric patient. In 3 cases of initial intramedullary fixation, the cause of nonunion was a distraction of the fracture site. In 3 cases of external fixation, the cause of nonunion was inadequate fixation. All cases showed bony union after an average of 24 weeks. The clinical outcomes were 11 excellent, 6 good and 1 fair. CONCLUSION: In the treatment for nonunion, compression plate fixation with autogeneous bone graft after complete removal of the fibrous and necrotic tissue is believed to give satisfactory results
