Artículos de revistas
Anterior Plating As A Surgical Alternative In The Treatment Of Humeral Shaft Non-union.
Registro en:
International Orthopaedics. v. 34, n. 7, p. 1025-31, 2010-Oct.
1432-5195
10.1007/s00264-009-0863-5
19730860
Autor
Livani, Bruno
Belangero, William
Medina, Giovanna
Pimenta, Ciro
Zogaib, Rodrigo
Mongon, Mauricio
Institución
Resumen
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. 34 1025-31