Document Detail

Reconstruction of humeral diaphyseal non-unions with vascularized fibular graft.
MedLine Citation:
PMID:  22659629     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: The aim of this study was to review the results of 5 diaphyseal non-unions reconstructed using vascularized fibular grafts.
METHODS: This study included six non-unions (3 males and 3 females; average age: 47 years; range: 21 to 57 years) reconstructed using vascularized fibular grafts between 2002 and 2007. Average duration of non-union was 59 (range: 12 to 156) months. Fixation was achieved with intramedullary nailing in 3 patients and plates in 3. One case was lost to follow-up at the third postoperative month. The remaining five patients were followed up for an average of 37 (range: 12 to 53) months.
RESULTS: In four cases, union was achieved with a single operation at an average of 4.4 months. A secondary intervention for grafting was required for one patient for inadequate consolidation of the proximal bone-graft interface. Mean radiographic humeral length difference was 3.6 (range: 1 to 7) cm. Average elbow range of motion was 130 (range: 100 to 145), shoulder flexion 167.5 (range: 165 to 170), shoulder abduction 172.5 (range: 170 to 180), internal rotation 75 (range: 70 to 80), and external rotation 92.5 (range: 80 to 100) degrees. Mean DASH score was 10 (range: 5 to 19). According to the Tang system, 3 patients had excellent and 2 good clinical evaluations. Radiologic evaluation revealed four excellent and one fair result. No donor site morbidity was detected.
CONCLUSION: Our results suggest that vascularized fibular grafting is an effective treatment option for the reconstruction of humeral diaphyseal non-unions.
Tulgar Toros; Kemal Ozaksar; Tahir Sadık Sügün; Fuat Ozerkan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta orthopaedica et traumatologica turcica     Volume:  46     ISSN:  1017-995X     ISO Abbreviation:  Acta Orthop Traumatol Turc     Publication Date:  2012  
Date Detail:
Created Date:  2012-06-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9424806     Medline TA:  Acta Orthop Traumatol Turc     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  149-53     Citation Subset:  IM    
Hand Microsurgery Orthopaedics and Traumatology (EMOT) Hospital, İzmir, Turkey.
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