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Doksan Derece Konumlandırılmış Çift Plak ile Tespit ve Greftlemenin Humerus Cisim Kaynama Yokluğunun İyileşmesi Üzerine Etkinliği Nedir?

Year 2016, Volume: 17 Issue: 2, 83 - 89, 01.08.2016

Abstract

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References

  • 1. Jupiter JB. Complex non-union of the humeral diaphysis. Treatment with a medial approach, an anterior plate, and a vascularized fibular graft. J Bone Jt Surg Am 1990; 72: 701-7.
  • 2. Rosen H. The treatment of nonunions and pseudarthroses of the humeral shaft. Orthop Clin North Am 1990; 21: 725-42.
  • 3. Sarmiento A, Kinman PB, Galvin EG, Schmitt RH, Phillips JG. Functional bracing of fractures of the shaft of the humerus. J Bone Joint Surg 2000; 59: 596-601.
  • 4. Walker M, Palumbo B, Badman B, Brooks J, Van Gelderen J, Mighell M. Humeral shaft fractures: a review. J Shoulder Elbow Surg 2011; 20: 833-44.
  • 5. Kumar A, Sadiq S. Non-union of the humeral shaft treated by internal fixation. Int Orthop 2002; 26: 214-6.
  • 6. Hornicek FJ, Zych GA, Hutson JJ, Malinin TI. Salvage of humeral nonunions with onlay bone plate allograft augmentation. Clin Orthop Relat Res 2001; 386: 203-9.
  • 7. te Velde EA, van der Werken C. Plate osteosynthesis for pseudarthrosis of the humeral shaft. Injury 2001; 32: 621-4.
  • 8. Van Houwelingen AP, McKee MD. Treatment of osteopenic humeral shaft nonunion with compression plating, humeral cortical allograft struts, and bone grafting. J Orthop Trauma 2005; 19: 36-42.
  • 9. Crolla RM, de Vries LS, Clevers GJ. Locked intramedullary nailing of humeral fractures. Injury 1993; 24: 403-6.
  • 10. Patel VR, Menon DK, Pool RD, Simonis RB. Nonunion of the humerus after failure of surgical treatment. Management using the Ilizarov circular fixator. J Bone Joint Surg Br 2000; 82: 977- 83.
  • 11. Marti RK, Verheyen CC, Besselaar PP. Humeral shaft nonunion: evaluation of uniform surgical repair in fifty-one patients. J Orthop Trauma 2002; 16: 108-15.
  • 12. Rubel IF, Kloen P, Campbell D, Schwartz M, Liew A, Myers E, et al. Open reduction and internal fixation of humeral nonunions: a biomechanical and clinical study. J Bone Joint Surg Am 2002; 84: 1315-22.
  • 13. McKee MD, Miranda MA, Riemer BL, Blasier RB, Redmond BJ, Sims SH, et al. Management of humeral nonunion after the failure of locking intramedullary nails. J Orthop Trauma 1996; 10: 492-9.
  • 14. Martinez AA, Cuenca J, Herrera A. Two-plate fixation for humeral shaft non-unions. J Orthop Surg (Hong Kong) 2009; 17: 135-8.
  • 15. Ring D, Perey BH, Jupiter JB. The functional outcome of operative treatment of ununited fractures of the humeral diaphysis in older patients. J Bone Joint Surg Am 1999; 81: 177-90.
  • 16. Padhye KP, Kulkarni VS, Kulkarni GS, Kulkarni MG, Kulkarni S, Kulkarni R, et al. Plating, nailing, external fixation, and fibular strut grafting for non-union of humeral shaft fractures. J Orthop Surg (Hong Kong) 2013; 21: 327-31.
  • 17. Sioros VS, Lykissas MG, Pafilas D, Koulouvaris P, Mavrodontidis AN. Ilizarov treatment of humeral shaft nonunion in an antiepileptic drug patient with uncontrolled generalized tonicclonic seizure activity. J Orthop Surg Res 2010; 5: 48.
  • 18. Kontakis GM, Papadokostakis GM, Alpantaki K, Chlouverakis G, Hadjipavlou AG, Giannoudis PV. Intramedullary nailing for nonunion of the humeral diaphysis: a review. Injury 2006; 37: 953- 60.
  • 19. Crosby LA, Norris BL, Dao KD, McGuire MH. Humeral shaft nonunions treated with fibular allograft and compression plating. Am J Orthop 2000; 29: 45-7.
  • 20. Healy WL, White GM, Mick CA, Brooker AF Jr, Weiland AJ. Nonunion of the humeral shaft. Clin Orthop Relat Res 1987; 219: 206-13.

What is the Effect of 90-Degree Double-Plate Fixation with Grafting on Healing of Humeral Shaft Non-unions

Year 2016, Volume: 17 Issue: 2, 83 - 89, 01.08.2016

Abstract

Objective: Our aim was to investigate the clinical and radiological outcomes of double-plate fixation with grafting in the treatment of non-union of humeral shaft fractures. Materials and Methods: We performed a retrospective chart review of patients operated between 2006 and 2012 due to humeral shaft non-union. Patients undergoing surgery with double-plate fixation were included and those treated with external fixator, single plate, intramedullary nails and patients with pathological fractures and infected non-unions were excluded. Surgical intervention via anterolateral or posterior approach included radial nerve identification, decortication and reestablishment of medullary canal followed by compression plating with double-plate fixation and frequent application of autogenous grafts or allografts. Main outcome measures were success rate of non-union repair, rate of re-intervention and complications, range of motion, assessment of pain Visual analogue scale (VAS) and function Disabilities of the arm, shoulder and hand (DASH) and overall outcome Stewart-Hundley classification. Results: Ten patients were treated with double-plate fixation. The study group included six females and four males aged 36 to 70 years. Union was achieved within 4.5 and 8 months in all cases. The mean preoperative VAS score of 6.1 decreased to 2, postoperatively, with an associated decrease in the mean DASH score from 74.1 to 23.4. Excellent or good results were obtained in nine cases. There was no incidence of radial nerve palsy or infection. Conclusion: Our study provides level 4 evidence of the effectiveness of treating non-union fractures of the humeral shaft with double-plate fixation and grafting in providing good-to-excellent functional results and high union rate without any significant complication.

References

  • 1. Jupiter JB. Complex non-union of the humeral diaphysis. Treatment with a medial approach, an anterior plate, and a vascularized fibular graft. J Bone Jt Surg Am 1990; 72: 701-7.
  • 2. Rosen H. The treatment of nonunions and pseudarthroses of the humeral shaft. Orthop Clin North Am 1990; 21: 725-42.
  • 3. Sarmiento A, Kinman PB, Galvin EG, Schmitt RH, Phillips JG. Functional bracing of fractures of the shaft of the humerus. J Bone Joint Surg 2000; 59: 596-601.
  • 4. Walker M, Palumbo B, Badman B, Brooks J, Van Gelderen J, Mighell M. Humeral shaft fractures: a review. J Shoulder Elbow Surg 2011; 20: 833-44.
  • 5. Kumar A, Sadiq S. Non-union of the humeral shaft treated by internal fixation. Int Orthop 2002; 26: 214-6.
  • 6. Hornicek FJ, Zych GA, Hutson JJ, Malinin TI. Salvage of humeral nonunions with onlay bone plate allograft augmentation. Clin Orthop Relat Res 2001; 386: 203-9.
  • 7. te Velde EA, van der Werken C. Plate osteosynthesis for pseudarthrosis of the humeral shaft. Injury 2001; 32: 621-4.
  • 8. Van Houwelingen AP, McKee MD. Treatment of osteopenic humeral shaft nonunion with compression plating, humeral cortical allograft struts, and bone grafting. J Orthop Trauma 2005; 19: 36-42.
  • 9. Crolla RM, de Vries LS, Clevers GJ. Locked intramedullary nailing of humeral fractures. Injury 1993; 24: 403-6.
  • 10. Patel VR, Menon DK, Pool RD, Simonis RB. Nonunion of the humerus after failure of surgical treatment. Management using the Ilizarov circular fixator. J Bone Joint Surg Br 2000; 82: 977- 83.
  • 11. Marti RK, Verheyen CC, Besselaar PP. Humeral shaft nonunion: evaluation of uniform surgical repair in fifty-one patients. J Orthop Trauma 2002; 16: 108-15.
  • 12. Rubel IF, Kloen P, Campbell D, Schwartz M, Liew A, Myers E, et al. Open reduction and internal fixation of humeral nonunions: a biomechanical and clinical study. J Bone Joint Surg Am 2002; 84: 1315-22.
  • 13. McKee MD, Miranda MA, Riemer BL, Blasier RB, Redmond BJ, Sims SH, et al. Management of humeral nonunion after the failure of locking intramedullary nails. J Orthop Trauma 1996; 10: 492-9.
  • 14. Martinez AA, Cuenca J, Herrera A. Two-plate fixation for humeral shaft non-unions. J Orthop Surg (Hong Kong) 2009; 17: 135-8.
  • 15. Ring D, Perey BH, Jupiter JB. The functional outcome of operative treatment of ununited fractures of the humeral diaphysis in older patients. J Bone Joint Surg Am 1999; 81: 177-90.
  • 16. Padhye KP, Kulkarni VS, Kulkarni GS, Kulkarni MG, Kulkarni S, Kulkarni R, et al. Plating, nailing, external fixation, and fibular strut grafting for non-union of humeral shaft fractures. J Orthop Surg (Hong Kong) 2013; 21: 327-31.
  • 17. Sioros VS, Lykissas MG, Pafilas D, Koulouvaris P, Mavrodontidis AN. Ilizarov treatment of humeral shaft nonunion in an antiepileptic drug patient with uncontrolled generalized tonicclonic seizure activity. J Orthop Surg Res 2010; 5: 48.
  • 18. Kontakis GM, Papadokostakis GM, Alpantaki K, Chlouverakis G, Hadjipavlou AG, Giannoudis PV. Intramedullary nailing for nonunion of the humeral diaphysis: a review. Injury 2006; 37: 953- 60.
  • 19. Crosby LA, Norris BL, Dao KD, McGuire MH. Humeral shaft nonunions treated with fibular allograft and compression plating. Am J Orthop 2000; 29: 45-7.
  • 20. Healy WL, White GM, Mick CA, Brooker AF Jr, Weiland AJ. Nonunion of the humeral shaft. Clin Orthop Relat Res 1987; 219: 206-13.
There are 20 citations in total.

Details

Other ID JA84YK77EM
Journal Section Research Article
Authors

Mutlu Çobanoğlu This is me

Özgür Özbey This is me

Öner Şavk This is me

Ferit Özgezmez This is me

Publication Date August 1, 2016
Published in Issue Year 2016 Volume: 17 Issue: 2

Cite

EndNote Çobanoğlu M, Özbey Ö, Şavk Ö, Özgezmez F (August 1, 2016) What is the Effect of 90-Degree Double-Plate Fixation with Grafting on Healing of Humeral Shaft Non-unions. Meandros Medical And Dental Journal 17 2 83–89.