Document Detail


Delayed and non-union of the humeral diaphysis--compression plate or internal plate fixator?
MedLine Citation:
PMID:  14728955     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a retrospective study, two groups of patients with delayed or non-union of the humeral diaphysis were compared. In group A, a 4.5-mm low-contact dynamic compression plate (LCDCP) was used for internal fixation and in group B, an internal plate fixator with locked screws was used. In all patients autologous bone grafting was performed. Group A consisted of 14 patients (mean age 38.9 years) and group B consisted of 19 patients (mean age 54.3 years). The mean duration of the delayed or non-union was 9.3 months (range 3-26 months) in group A and 24.8 months (range 3-216 months) in group B. In group A an average of 1.1 (range 0-2) previous operations had been performed, and in group B an average of 1.6 (range 0-4). One primary nerve palsy was diagnosed in group A and six in group B. Although the patients of group B were older, had longer-lasting non-unions, more previous operations and more severe initial injuries, only in group A was there a hardware failure due to osteoporosis which required re-osteosynthesis. All other patients showed bony consolidation without further operations. The LCDCP and the internal plate fixator both showed high consolidation rates, but we feel that the internal plate fixator may be the more reliable implant, especially in patients with poor bone stock.
Authors:
Michael Ernst Wenzl; Thomas Porté; Stefan Fuchs; Maximilian Faschingbauer; Christian Jürgens
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Injury     Volume:  35     ISSN:  0020-1383     ISO Abbreviation:  Injury     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-01-19     Completed Date:  2004-04-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0226040     Medline TA:  Injury     Country:  England    
Other Details:
Languages:  eng     Pagination:  55-60     Citation Subset:  IM    
Affiliation:
Berufsgenossenschaftliches Unfallkrankenhaus Hamburg, Abteilung für Unfall-und Wiederherstellungschirurgie, Bergedorferstrasse 10, 21033 Hamburg, Germany. m.wenzl@buk-hamburg.de
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Bone Plates*
Diaphyses / injuries,  surgery
Elbow Joint / physiopathology
Follow-Up Studies
Fracture Fixation, Internal / adverse effects,  instrumentation*,  methods
Fractures, Ununited / radiography,  surgery*
Humans
Humeral Fractures / radiography,  surgery*
Internal Fixators
Middle Aged
Postoperative Period
Range of Motion, Articular
Retrospective Studies
Shoulder Joint / physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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