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Acta Ortopédica Brasileira

Print version ISSN 1413-7852

Abstract

AYOTUNDE, Olasinde Anthony; SUNDAY, Oluwadiya Kehinde; OLUWATOYIN, Adetan  and  DARE, Ogunlusi Johnson. Results of surgical treatment of nonunion of humeral shaft fracture with dynamic compression plate and cancellous bone grafting. Acta ortop. bras. [online]. 2012, vol.20, n.4, pp. 223-225. ISSN 1413-7852.  http://dx.doi.org/10.1590/S1413-78522012000400006.

OBJECTIVE: We evaluated the treatment of nonunion of humeral shaft fracture with dynamic compression plate from January 2002 to December 2009. METHODS: Twenty two patients were treated over the study period. Trauma was the predominant cause of injury in 86,4% of the patients. RESULTS: Nonunion was atrophic in 81,8% and hypertrophic in 18,2% of the individuals. There was a primary injury of the radial nerve in 27,3% of the patients. All the participants had closed fracture at presentation, and 81,2% had received previous treatment from traditional bone setters and 18,8% had failure of the conservative cast management.The average time to healing was 16 weeks. Previous treatment from traditional bone setters significantly affected the time to fracture healing (p<0,05). All fractures had successful union. CONCLUSION: It was concluded that dynamic compression plating remains an effective treatment option for nonunion of humeral shaft fracture. Level of Evidence III, Retrospective study.

Keywords : Humeral fractures [surgery]; Humeral fractures [therapy]; Bone regeneration; Fracture fixation, internal.

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