| Treatment of Surgical Neck Nonunions of the Humerus with Locked Plate and Autologous Fibular Strut Graft. | |
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MedLine Citation:
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PMID: 22487810 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objectives: To determine whether using a fixed-angle locked plate plus a fibular strut autograft to treat humeral surgical neck nonunions can result in improved union. Patients and Methods: The study cohort included 5 females and 2 males with an average age of 58.4 years (range 45-76) who presented with atrophic nonunion of the surgical neck of the humerus. All patients underwent revision surgery with locked plating plus a nonvascularized autologous fibular strut bone graft. Clinical and radiological union was documented in all patients. Results: The mean time from initial trauma to last revision surgery was 20.1 ± 12.6 months (range 12-48). The average time between revision surgery and the date of union was 6.1 months (range 5-8). The average active forward flexion was 124° (range 70-160) at final follow-up. The Constant-Murley score increased from an average of 25.7 points preoperatively to 77.7 points postoperatively (p < 0.001). The average analog scale of pain decreased from 7.57 points (range 6-10) preoperatively to 0.57 points (range 0-2) postoperatively (p < 0.001). Conclusions: Locked plate fixation and autologous fibular strut bone graft facilitated the successful treatment of humeral surgical neck nonunions. |
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Authors:
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Kanda Gao; Wei Gao; Jianhua Huang; Xiaoming Wu; Chuan Shun Wang; Qiugen Wang |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-4-05 |
Journal Detail:
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Title: Medical principles and practice : international journal of the Kuwait University, Health Science Centre Volume: - ISSN: 1423-0151 ISO Abbreviation: - Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-4-10 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8901334 Medline TA: Med Princ Pract Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 S. Karger AG, Basel. |
Affiliation:
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Department of Orthopedics, Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai, P.R. China. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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