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Locked intramedullary nailing for difficult nonunions of the humeral diaphysis

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Abstract

Antegrade intramedullary nailing and bone grafting was carried out for 27 patients with resistant atrophic nonunion of the humeral diaphysis. The initial fracture was open in 12 cases and closed in 15. There were ten proximal humeral fractures, 13 mid-shaft fractures and four distal humeral shaft fractures. Most had previous attempts at internal fixation with bone grafting. Fifteen cases united, but 12 remained ununited necessitating further surgical treatment. The failures were all in the more complex cases. Lack of rigidity and compression may be the problem.

Résumé

Un enclouage centro médullaire antérograde avec greffe osseuse a été réalisé chez 27 malades avec une pseudarthrose atrophique de la diaphyse humérale. La fracture initiale était ouverte dans douze cas et fermé dans quinze. Il y avait 10 fractures proximales, 13 fractures médio- diaphysaires et 4 fractures distales. La plupart avaient eu des tentatives précédentes de fixation interne avec greffe osseuse . Quinze cas ont consolidé, mais douze ont nécessité un traitement chirurgical supplémentaire. Les échecs étaient toujours dans les cas les plus complexes. Le manque de rigidité et de compression est peut être le problème.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, MBC 77, King Faisal Specialist Hospital and Research Centre, P.O. Box 3354, 11211, Riyadh, Saudi Arabia

    I. Ilyas & D. A. Younge

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  1. I. Ilyas
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  2. D. A. Younge
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Correspondence to I. Ilyas.

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Ilyas, I., Younge, D.A. Locked intramedullary nailing for difficult nonunions of the humeral diaphysis. International Orthopaedics (SICOT) 27, 278–281 (2003). https://doi.org/10.1007/s00264-003-0470-9

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  • DOI: https://doi.org/10.1007/s00264-003-0470-9

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