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KMID : 0858320090120010033
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Journal of the Korean Shoulder Elbow Society
2009 Volume.12 No. 1 p.33 ~ p.37
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Compression Plate Fixation with Autogenous Bone Graft for Humerus Shaft Nonunion
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Cho Chul-Hyun
Bae Ki-Cheor
Song Kwang-Soon
Kwon Doo-Hyun
Kim In-Kyu
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Abstract
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Purpose: To evaluate the results of the compression plate fixation and autogenous bone graft in the management of humerus shaft nonunion.
Materials and Methods : Eighteen cases were treated for humerus shaft nonunion using compression plate fixation and an autogenous iliac bone graft. The mean follow-up period was 28 months. Bony union was confirmed from the serial radiographs and the clinical outcomes were assessed according to ASES scoring system.
Results: In 12 cases of initial plate fixation, the causes of nonunion were 6 cases of inadequate plate length, 2 with a broken plate, 2 with screw loosening, 1 infection and 1 noncompliance of a psychiatric patient. In 3 cases of initial intramedullary fixation, the cause of nonunion was a distraction of the fracture site. In 3 cases of external fixation, the cause of nonunion was inadequate fixation. All cases showed bony union after an average of 24 weeks. The clinical outcomes were 11 excellent, 6 good and 1 fair.
Conclusion: In the treatment for nonunion, compression plate fixation with autogeneous bone graft after complete removal of the fibrous and necrotic tissue is believed to give satisfactory results.
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KEYWORD
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Humerus shaft, Nonunion, Compression plate fixation, Autogenous bone graft
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