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Treatment of Surgical Neck Nonunions of the Humerus with Locked Plate and Autologous Fibular Strut Graft.
MedLine Citation:
PMID:  22487810     Owner:  NLM     Status:  Publisher    
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.
Kanda Gao; Wei Gao; Jianhua Huang; Xiaoming Wu; Chuan Shun Wang; Qiugen Wang
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-05
Journal Detail:
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:
Created Date:  2012-4-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8901334     Medline TA:  Med Princ Pract     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 S. Karger AG, Basel.
Department of Orthopedics, Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai, P.R. China.
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