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Type: Artigo de periódico
Title: Anterior Plating As A Surgical Alternative In The Treatment Of Humeral Shaft Non-union.
Author: Livani, Bruno
Belangero, William
Medina, Giovanna
Pimenta, Ciro
Zogaib, Rodrigo
Mongon, Mauricio
Abstract: 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.
Subject: Adolescent
Bone Plates
Fracture Fixation, Internal
Fracture Healing
Fractures, Ununited
Humeral Fractures
Internal Fixators
Middle Aged
Postoperative Complications
Treatment Outcome
Young Adult
Citation: International Orthopaedics. v. 34, n. 7, p. 1025-31, 2010-Oct.
Rights: fechado
Identifier DOI: 10.1007/s00264-009-0863-5
Date Issue: 2010
Appears in Collections:Unicamp - Artigos e Outros Documentos

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