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Humerus nonunion

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12 papers 100 to 500 followers
By David Bennett Pediatric Orthopaedic Surgeon in the United States
https://www.readbyqxmd.com/read/22381415/treatment-of-high-energy-supracondylar-intercondylar-fractures-of-the-distal-humerus
#1
Lisa Cannada, B Loeffler, M B Zadnik, And W A Eglseder
Operative treatment of high-energy intra-articular fractures of the distal humerus is challenging and controversial. We conducted a retrospective study at a Level I trauma center to evaluate the results of a specific treatment protocol. Seventy-one patients were treated through a posterior olecranon osteotomy. Capsulectomy was performed in patients who perceived their functional range of motion to be limited after an average of 10~months. Clinical followup consisted of physical examination, radiography, and completion of the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire...
2011: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/19574065/a-clinical-comparison-of-two-different-double-plating-methods-for-intraarticular-distal-humerus-fractures
#2
RANDOMIZED CONTROLLED TRIAL
Sang-Jin Shin, Hoon-Sang Sohn, Nam-Hoon Do
BACKGROUND: This study compared clinical outcomes in patients with intraarticular distal humerus fractures treated using 2 different double plating methods. METHOD: Seventeen patients were treated by perpendicular plating (group I) and 18 by parallel plating (group II) methods. Arc of flexion averaged 106 degrees +/-23 degrees in group I and 112 degrees +/-19 degrees in group II. RESULTS: Eleven patients in group I recovered full arc of flexion and 13 patients in group II achieved full arc of flexion...
January 2010: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/19385565/distal-humeral-nonunion
#3
Joaquin Sanchez-Sotelo
Nonunion is one of the most common and challenging complications of distal humeral fractures. Newer internal fixation principles and techniques have improved the ability of orthopaedic surgeons to achieve stable fixation of complex distal humeral fractures. However, some fractures will fail to unite, leaving the patient with an unstable, dysfunctional, and often painful upper extremity that requires additional surgery.
2009: Instructional Course Lectures
https://www.readbyqxmd.com/read/19195653/use-of-a-hybrid-locking-plate-for-complex-metaphyseal-fractures-and-nonunions-about-the-humerus
#4
Allison B Spitzer, Roy I Davidovitch, Kenneth A Egol
PURPOSE: To review one surgeon's experience with a novel type of "hybrid" locking plate (which has both 3.5mm and 4.5mm locking holes) for difficult fractures of the meta-diaphyseal humeral shaft. METHODS: Over a 2-year period, 24 patients who presented with a metaphyseal humeral fracture or nonunion (proximal or distal) were treated surgically by a single surgeon. A "hybrid" locking plate containing 3.5mm locking holes on one end and 4.5mm locking holes on the other end (Metaphyseal plate, Synthes, Paoli, Pa) was used in all patients...
March 2009: Injury
https://www.readbyqxmd.com/read/18978552/the-management-of-nonunion-and-malunion-of-the-distal-humerus-a-30-year-experience
#5
Jesse B Jupiter
This personal series of nonunions of the distal humerus reviews unique features of this problem, categorizes them according to unique anatomic features, and presents pitfalls and pearls in the management of these complex reconstructive problems.
November 2008: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/17482002/intraosseous-blood-supply-to-the-distal-humerus
#6
Jon P Kimball, Frank Glowczewskie, Thomas W Wright
PURPOSE: Nonunion of the distal humerus after fracture or osteotomy is uncommon but can present an important clinical problem. Vascular insufficiency of bone may be an important contributing factor. The purpose of this study was to describe the intraosseous vascular anatomy of the distal humerus. METHODS: Nine fresh-frozen upper extremity cadaver specimens were injected with India ink and Ward's blue latex solution. A modified Spalteholz technique was used to show the intraosseous vascular anatomy...
May 2007: Journal of Hand Surgery
https://www.readbyqxmd.com/read/16049248/revision-surgery-for-nonunion-after-early-failure-of-fixation-of-fractures-of-the-distal-humerus
#7
A Ali, H Douglas, D Stanley
Sixteen patients who underwent a revision operation for nonunion of fractures of the distal humerus following previous internal fixation were reviewed at a mean follow-up of 39 months (8 to 69). The Mayo elbow performance score was excellent in 11, good in two, fair in two and poor in one. In 15 patients union was achieved and in one with an infected nonunion a subsequent bone graft was necessary in order to obtain union.Age, gender, a history of smoking, mechanism of the injury and the AO classification of the initial fracture did not correlate with the development of nonunion...
August 2005: Journal of Bone and Joint Surgery. British Volume
https://www.readbyqxmd.com/read/15021130/nonunions-of-the-humerus
#8
REVIEW
David A Volgas, James P Stannard, Jorge E Alonso
Humerus fractures comprise 5% to 8% of all fractures. Nonunions are uncommon, but when they occur, they present a challenge to the orthopaedic surgeon and often are debilitating to patients. There are risk factors that may predispose patients to nonunion. Many methods of treating these nonunions have been described with varying degrees of success. We review the literature concerning the treatment of proximal, midshaft, and distal humeral nonunions and describe our treatment protocol based on the literature.
February 2004: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/14996918/orif-of-delayed-unions-and-nonunions-of-distal-humeral-fractures-surgical-technique
#9
David L Helfet, Peter Kloen, Neel Anand, Howard S Rosen
BACKGROUND: The purpose of the present retrospective study was to evaluate the results of open reduction and internal fixation of delayed unions and nonunions of fractures of the distal part of the humerus. METHODS: Between 1976 and 2001, fifty-two patients with a delayed union (thirteen patients) or nonunion (thirty-nine patients) of the distal part of the humerus were treated with open reduction and internal fixation along with selective elbow joint arthrolysis and bone-grafting...
March 2004: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/12783999/unstable-nonunions-of-the-distal-part-of-the-humerus
#10
David Ring, Lawrence Gulotta, Jesse B Jupiter
BACKGROUND: Some nonunions of the distal part of the humerus are so unstable that the hand and the forelimb cannot be supported against gravity. The purpose of the present retrospective study was to analyze the results of open reduction and internal fixation, joint contracture release, and autogenous bone-grafting in the treatment of these unstable nonunions of the distal part of the humerus. METHODS: Fifteen patients (average age, sixty years) with an unstable nonunion of the distal part of the humerus were treated with excision of fibrous and synovial tissues, opening of sclerotic fracture surfaces, internal fixation with multiple plates and screws, and autogenous bone-grafting...
June 2003: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/12533569/open-reduction-and-internal-fixation-of-delayed-unions-and-nonunions-of-fractures-of-the-distal-part-of-the-humerus
#11
David L Helfet, Peter Kloen, Neel Anand, Howard S Rosen
BACKGROUND: The purpose of the present retrospective study was to evaluate the results of open reduction and internal fixation of delayed unions and nonunions of fractures of the distal part of the humerus. METHODS: Between 1976 and 2001, fifty-two patients with a delayed union (thirteen patients) or nonunion (thirty-nine patients) of the distal part of the humerus were treated with open reduction and internal fixation along with selective elbow joint arthrolysis and bone-grafting...
January 2003: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/2231121/open-reduction-and-internal-fixation-of-delayed-union-and-nonunion-of-the-distal-humerus
#12
R A Sanders, J R Sackett
Nonunion of a condylar fracture of the distal humerus rarely occurs, but when present it is difficult to manage. We recommend internal fixation of the nonunion in combination with decortication and autogenous iliac crest bone grafting along with careful selection and placement of the implant. Postoperatively, the goal is preservation of elbow motion until the nonunion heals. We reviewed the cases of five patients who had surgery for nonunion of this fracture, all of which healed within 2-3 months after surgery...
1990: Journal of Orthopaedic Trauma
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