Isolated interfragmentary compression for nonunion of humeral shaft fractures initially treated by nailing: A preliminary report of seven cases

Injury
T ApardP Bizot

Abstract

Plating with bone grafting is considered the gold standard treatment for nonunion of humeral shaft fractures. However, this complex procedure involves multiple risks. The aim of this study is to evaluate an alternative treatment using isolated axial interfragmentary compression for the dynamisation of humeral shaft nonunion after retrograde locked nailing. Between January 2000 and May 2009, 124 humeral shaft fractures were treated in our trauma department with retrograde locked nailing using the unreamed humeral nail (UHN(®), Synthes, Paoli, PA, USA). Nonunion occurred in seven patients (5.6%) - five females and two males, mean age 44 years (range: 17-73 years). The nonunion was treated by applying isolated secondary interfragmentary compression. Mean follow-up was 43 months (range: 8-74 months). The Rommens score and the disabilities of the arm, shoulder and hand (DASH) score were used to evaluate the global functioning of the upper limb. The compression procedure was successful in all seven cases. In each case, the union occurred without any complications in 3-5 months. The mean DASH score was 25/100 (range: 8.3-60.8/100). The Rommens score was judged excellent for five of the seven patients but two were rated moderate. One o...Continue Reading

References

Jan 1, 1989·Journal of Orthopaedic Trauma·E M Younger, M W Chapman
Jan 1, 1996·Journal of Orthopaedic Trauma·M D McKeeJ B Jupiter
Oct 5, 2001·Chirurgie de la main·T DubertA Dinh
Oct 29, 2003·Injury·Christoph SommerMichael Wagner
Feb 16, 2005·Injury·J P A M Verbruggen, J W J L Stapert
Apr 18, 2008·Injury·P M RommensJ Blum
Aug 16, 2011·Journal of Shoulder and Elbow Surgery·Yasser Ahmady Safoury, Mohamed Raffat Atteya

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Citations

Feb 8, 2016·Archives of Orthopaedic and Trauma Surgery·Jan GessmannDominik Seybold
Nov 24, 2012·The Orthopedic Clinics of North America·Robert J Steffner, Mark A Lee

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