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Clin Shoulder Elbow > Volume 12(1); 2009 > Article
Journal of the Korean Shoulder and Elbow Society 2009;12(1):33-37.
DOI: https://doi.org/10.5397/CiSE.2009.12.1.033    Published online June 30, 2009.
Compression Plate Fixation with Autogenous Bone Graft for Humerus Shaft Nonunion
Chul Hyun Cho, Kwang Soon Song, Ki Cheor Bae, In Kyoo Kim, Doo Hyun Kwon
Department of Orthopedic Surgery, School of Medicine, Keimyung University, Daegu, Korea. bkc@dsmc.or.kr
상완골 간부 불유합에 대한 금속판 고정 및 자가골 이식술
조철현·송광순·배기철·김인규·권두현
계명대학교 의과대학 정형외과학교실
Abstract
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
Key Words: Humerus shaft; Nonunion; Compression plate fixation; Autogenous bone graft


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