Treatment of nonunion of humeral shaft fracture with plate fixation and bone graft
- VernacularTitle:钢板内固定加植骨治疗肱骨干骨折术后骨不愈合的疗效分析
- Author:
Xin-Bao WU
;
Ming-Hui YANG
;
Ting LI
;
- Publication Type:Journal Article
- Keywords:
Humeral shaft fracture;
Nonunion;
Plate;
Fracture fixation,internal;
Bone graft
- From:
Chinese Journal of Orthopaedic Trauma
2004;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the operative treatment of nonunion of humeral shaft fracture with in- ternal plate fixation and autogenous cancellous hone graft.Methods Forty-one cases of nonunion of humeral shaft fracture operatively treated from February 2002 to December 2004 were analyzed retrospectively.There were 32 males and nine females.Their average age was 37.5 years(range,17 to 67 years).Sixteen nonunions were defined as hypertrophic and 25 as atrophic.We followed all the patients and obtained their complete medical information. Results Our average follow-up was 22.6 months(range,8 to 42 months).Forty fractures(97.6%)were united within an average of 5.8 months(range,3 to 12 months).Complications included iatrogenic radial nerve injury in three patients,wound infection in one patient and fracture nonunion in one patient.At the final follow-up,shou]der and elbow functions were found to be satisfactory.Conclusion Open reduction and plate internal fixation sup- plemented with autogenous cancellous bone graft is an effective treatment for nonunion of humeral shaft fracture.
