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Causes and treatment of nonunion of humeral shaft fracture

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Author:
No author available
Journal Title:
CHINA MEDICINE
Issue:
7
DOI:
10.3760/cma.j.issn.1673-4777.2010.07.029
Key Word:
肱骨骨折;骨折;不愈合;植骨;Humeral shaft fracture;Fracture,Non-union;Etiology;Bone graft

Abstract: Objective To analyze the etiology of nonunion of humeral shaft fractures and to expioreits treatment. Methods Twenty-five cases with nonunion postoperative humeral shaft fractures, who performed cleaning fracture ends,marrow recanalization, bone grafting and fix, were analyzed retrospectively. Results After open reduction, internal fixation and bone grafting of iliac bone were bone healing; the excellent and good rate of shoulder joint function was 88% (22 cases)and 92% (23 cases) ,in elbow joint. Conclusions The main reasons of nonunion of humeral shaft fracture are heavy injury ,improper operation and unsuitable training. Using locking compressing plate supplemented with autogenous cancellous bone graft is an effective treatment of nonunion of humeral shaft fracture.

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