Surgical Treatment for Humeral Shaft Nonunion

  • Onoue Hidetoshi
    Department of Orthopaedic Surgery, Fukuoka Tokushukai Medical Center, Fukuoka, Japan
  • Kimura Kazuo
    Department of Orthopaedic Surgery, Fukuoka Tokushukai Medical Center, Fukuoka, Japan
  • Matsunaga Kazutaka
    Department of Orthopaedic Surgery, Fukuoka Tokushukai Medical Center, Fukuoka, Japan
  • Yamaguchi Tetsu
    Department of Orthopaedic Surgery, Fukuoka Tokushukai Medical Center, Fukuoka, Japan
  • Hirai Nobuyuki
    Department of Orthopaedic Surgery, Fukuoka Tokushukai Medical Center, Fukuoka, Japan
  • Nobuto Shinri
    Department of Orthopaedic Surgery, Fukuoka Tokushukai Medical Center, Fukuoka, Japan
  • Huang George
    Department of Orthopaedic Surgery, Fukuoka Tokushukai Medical Center, Fukuoka, Japan

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Other Title
  • 上腕骨骨幹部偽関節に対する手術療法

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Abstract

The clinical outcome of surgical treatment for humeral shaft nonunions was evaluated. A total of four cases were treated by plate fixation with iliac bone graft. The range of age at the time of surgery was between 27 and 60 years. One male and three female cases were investigated in the study. Two fractures were previously treated conservatively, and the remaining two fractures were treated by Ender nails. The time from fracture to plating with bone graft ranged from three to 63 months. All of the cases obtained union within six months after surgery. Strong compression fixation and early motion exercises after surgery without damaging the shoulder and elbow joint are the greatest advantages of utilizing the plate for the treatment of humeral shaft nonunions.

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