Key result
Open reduction and internal fixation with an intramedullary fibular bone graft and compression plate achieved fracture union in 8 of 9 patients at an average of 3.5 months.
Why the study?
Does quadricortical fixation with an intramedullary fibular bone graft improve union and fixation strength in nonunited humeral shaft fractures?
Population
9 patients with nonunited humeral shaft fractures, and cadaver bones
Comparison
Open reduction and internal fixation with an… vs Methylmethacrylate augmentation and bicortical…
Design
Case_series
Follow-up
average 3.5 months (for union)
Authors
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Hypothesis-generating for quadricortical fibular grafting in humeral nonunions; prospective trials needed before clinical adoption.
Does quadricortical fixation with an intramedullary fibular bone graft improve union and fixation strength in nonunited humeral shaft fractures?
Quadricortical fixation using an intramedullary fibular graft provides strong fixation and high union rates for nonunited humeral shaft fractures.
Tw et al. (1993) studied nonunited humeral shaft fractures (n=9). Open reduction and internal fixation with an intramedullary fibular bone graft and a compression plate was evaluated on fracture union. Open reduction and internal fixation with an intramedullary fibular bone graft and compression plate achieved fracture union in 8 of 9 patients at an average of 3.5 months.
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