ArticleJournal of clinical orthopaedics and trauma2020
Grafting and fixation after aseptic non-union of the humeral shaft: A case series.
Article in Journal of clinical orthopaedics and trauma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 19 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
- Treatment of humeral shaft nonunion by exchange intramedullary nailing and circumferential cortical strut allograft: the Sarcophagus technique.JSES reviews, reports, and techniques · 2026Article
- Factors associated with failure of humerus nonunion surgery in patients with initial nonoperative management.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Functional Outcomes in Aseptic Humeral Shaft Nonunion Treated With Plate Osteosynthesis: A Retrospective Cohort Study.Indian journal of orthopaedics · 2025Article
- Treatment of infected humeral shaft nonunion and presumed aseptic nonunion with positive intraoperative cultures: a retrospective single-center study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Operative Management of Aseptic Humeral Shaft Nonunion: A Retrospective Study from Eastern India.Indian journal of orthopaedics · 2024Article
- Review
- Preoperative estimation of humerus intramedullary nail length using clinical landmarks.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2023Article
- 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
- Temporary spanning plate across the elbow for complex fractures of the distal humerus.BMC musculoskeletal disorders · 2021Article
- Comparison of Open Reduction and Internal Fixation with Plate and Titanium Elastic Intramedullary Nail in Treating Pediatric Humeral Fracture.Orthopaedic surgery · 2021Article
- Intercalary Allograft to Reconstruct Large-Segment Diaphysis Defects After Resection of Lower Extremity Malignant Bone Tumor.Cancer management and research · 2020Article
- 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 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeNon-unions after humeral shaft fractures are seen frequently in clinical practice at about 2-10% after conservative management and 30% after surgical treatment. Non-union, displacement of structures and fixation failure can be hazardous complications. The purpose of our study was to evaluate the outcomes of an on-lay bone graft strut construction with bone chips as grafting augmentation in the management of aseptic non-unions of the humeral shaft.
methodsFrom 124 eligible patients with a humeral shaft non-union, we included 48 patients. In all cases an anterolateral humeral approach was used, with an on-lay bone graft using an allograft strut construction and with bone substitute augmentation in the non-union gap. To assess the bone healing on radiographs, we used the non-union scoring system according to Whelan. Patients were followed with objective and subjective scores.
resultsIn all 48 patients we achieved full bone healing without major complications. The average period of union was 124 days. In 40 cases after healing the alignment was neutral, valgus deformation occurred in 6 cases a varus deformation in 2 cases. At twelve months after surgery, all patients recovered with satisfactory range of motion of shoulder and elbow and a good quality of life, without any radial nerve palsies or other major complications.
conclusionGiven the satisfactory results of full bone healing, recovery of the range of motion and the lack of major complications as seen in this study, we find that plating with supporting allograft as a good choice of treatment in the cases of aseptic non-union of the humeral shaft.
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