Comparison of three different treatment modalities in the management of humeral shaft nonunions (plates, unilateral, and circular external fixators)

Journal of Orthopaedic Trauma
Ata Can AtalarLevent Eralp

Abstract

To compare 3 different fixation methods for the treatment of humeral shaft nonunions in terms of union time, functional outcome, and complications. Retrospective case series. University hospital. Between 1996 and 2004, 80 patients (mean age, 49; range, 15 to 86; 30 women and 50 men) with nonunions of the humeral shaft were treated surgically in our institution. Circular external fixators (CEF) were used in 35 patients, unilateral limb reconstruction system (LRS) fixators in 24 patients and fixation with plates in 21 patients. Surgical procedure included hardware removal in previously operated patients, autogenous grafting in all patients in the plate group and in those patients with atrophic nonunions in the external fixator groups, compression of the nonunion site in all patients. Radiological union time, complications, shortening, and disabilities of the arm, shoulder, and hand (DASH) score. Mean follow-up period was 48.1 months (range, 12 to 121). Mean radiological union time was 5.5 months (range, 1.5 to 12) in the CEF group, 5.2 months (range, 3 to 10) in the LRS group, and 5.7 months (range, 3 to 12) in the plate group. Mean DASH score was 23.7 in the CEF group, 18.6 in the LRS group, and 26 in the plate group. There were...Continue Reading

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Citations

Jun 12, 2009·Techniques in Hand & Upper Extremity Surgery·Robert E BoykinJesse B Jupiter
Dec 1, 2012·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Erturer Ramazan ErdenOzturk Irfan
Feb 9, 2016·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Sanjit R KondaKenneth A Egol
Jul 4, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Eben A CarrollJason J Halvorson
Apr 23, 2016·Journal of Orthopaedic Trauma·Rafael KakazuMichael T Archdeacon
May 18, 2011·Journal of Orthopaedic Trauma·John D IdoineLori DeMott
Feb 18, 2017·Archives of Physical Medicine and Rehabilitation·Linda ResnikJill Cancio
Jul 9, 2020·The Pan African Medical Journal·Sami SallemiHassib Keskes
Mar 7, 2014·The Journal of Bone and Joint Surgery. American Volume·Valentin NeuhausDavid Ring
Oct 31, 2020·Archives of Orthopaedic and Trauma Surgery·Andrew LeeAnil Dutta

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