Anterior plating as a surgical alternative in the treatment of humeral shaft non-union

作者：Livani Bruno^*; Belangero William; Medina Giovanna; Pimenta Ciro; Zogaib Rodrigo; Mongon Mauricio

来源：International Orthopaedics, 2010, 34(7): 1025-1031.

DOI：10.1007/s00264-009-0863-5

This study included 15 patients with humeral shaft fractures who had no clinical, radiological or bone scan signs of healing after eight months. The patients were followed for a mean of 35.8 months. No patient was lost to follow-up. Anterior plating of humeral shaft nonunion via an anterior approach was performed using a straight plate and compression for well-vascularised non-unions and wave plating with a tricortical graft for poorly vascularised non-unions. All non-unions healed within 6-18 weeks (mean, nine weeks) without local complication. One patient had a mild decrease in elbow and shoulder range of motion. No neurovascular injury was observed. Anterior plating is a simple, safe and effective treatment for humeral shaft non-union. As this approach avoids the need for radial nerve visualisation and extensive soft-tissue dissection, and the healing time is similar to that of other methods, we suggest this treatment as an alternative option.

• 出版日期2010-10