ArticleClinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases
Grafting and fixation of proximal humeral aseptic non union: a prospective case series.
Article in Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 27 citations in OpenAlex.
- Focused extracorporeal shock wave therapy as a salvage option for humeral shaft delayed union and non-union with implant loosening or fixation-related concerns: a report of three cases.JSES reviews, reports, and techniques · 2026Article
- Antegrade intramedullary nail and plate combination technique for proximal humeral non-union: A case report.Trauma case reports · 2026Article
- Effect of closed reduction and external fixation in elderly patients with anterior shoulder dislocation combined with humeral surgical neck fracture: a retrospective cohort study based on fracture-dislocation classification.Frontiers in surgery · 2026Article
- Review
- Outcome of Osteosynthesis of Late-Presenting Proximal Humerus Non-union: A Case Series.Journal of orthopaedic case reports · 2024Article
- Massive bone defects due to infection at the surgical site associated with a distal humeral fracture that was treated using fibula autograft: a case report.Annals of medicine and surgery (2012) · 2023Article
- Operative treatment of nonunions in the elderly: Clinical and radiographic outcomes in patients at minimum 75 years of age.BMC geriatrics · 2022Review
- Identification of Diagnostic Biomarkers Associated with Stromal and Immune Cell Infiltration in Fatty Infiltration After Rotator Cuff Tear by Integrating Bioinformatic Analysis and Machine-Learning.International journal of general medicine · 2022Article
- Comparison of Open Reduction and Internal Fixation with Plate and Titanium Elastic Intramedullary Nail in Treating Pediatric Humeral Fracture.Orthopaedic surgery · 2021Article
- Use of a locking intramedullary nail for the treatment of initial varus proximal humeral fracture: a prospective pilot study.The Journal of international medical research · 2020Article
- Grafting and fixation after aseptic non-union of the humeral shaft: A case series.Journal of clinical orthopaedics and trauma · 2020Article
- Plate-and-bone-strut fixation of distal third humeral shaft aseptic non-unions: A consecutive case series.Journal of clinical orthopaedics and trauma · 2019Article
- Vitamin C May Help to Reduce the Knee's Arthritic Symptoms. Outcomes Assessment of Nutriceutical Therapy.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2019Article
- Open Reduction and Internal Fixation Using Double Plating with Biological and Artificial Bone Grafting of Aseptic Non-unions of the Distal Humerus: Clinical Results.Strategies in trauma and limb reconstructionArticle
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFractures of the proximal part of the humerus represent almost 4-5% of all fractures. The rate of non union is estimated to be 1.1 to 10%. Non union, displacement, and fixation failure can be hazardous complications for these injuries. The purpose of our study was to evaluate the outcomes of plate and bone strut allograft with bone chips grafting augmentation in the management of proximal humeral aseptic non union.
methodsWe treated 16 aseptic non union proximal humeral fractures by the medial humeral shaft bone strut allograft and lateral plate and screws with bone chips grafting. The patients' ages were between 55 and 70 years. The chosen criteria to evaluate the group during the clinical and radiological follow-up were the quality of life measured by The Short Form (12) Health Survey (SF-12), shoulder function and related quality of life measured by the Constant Shoulder Score (CSS) compared with healthy side, bone healing measured by X-rays, and postoperative complications. The follow-up was perfor med with clinical and radiographic controls at 1, 3, 6 and 12 months. Surgical time and international units of red blood cells transfused were also calculated. The evaluation endpoint was set at 12 months.
resultsThe X-rays bone healing occurred in our group on average of 126.4 days after surgery. The surgical time and blood loss were consistent with standard surgical procedures. The quality of life and functional recovery were excellent after plate and bone strut allograft.
conclusionsSurgical techniques that increase mechanical stability, while incorporating bone biology, are effective aids for treating problematic fractural patterns.
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