ArticleJSES international2020
Risk factors for nonunion after traumatic humeral shaft fractures in adults.
Article in JSES international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 37 citations in OpenAlex.
- Risk factors for delayed healing and multiple revisions in humeral shaft nonunion: a retrospective case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Factors associated with humeral shaft fracture nonunion.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Utilizing a Sarmiento Brace to Attain Union of a Humeral Shaft Fracture Nonunion With Hardware Failure.Case reports in orthopedics · 2026Article
- Humerus Brace for Treating Humeral Shaft Fractures: A Retrospective Cohort Study of Union and Failure Rates.Cureus · 2025Article
- Effect of cerclage wiring on humeral shaft fracture associated with the third fragment.Archives of orthopaedic and trauma surgery · 2025Article
- Risk factors associated with delayed union after open reduction and plate fixation for humeral diaphyseal fractures.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Article
- A radiographic analysis of humerus shaft fractures to predict non-union.Irish journal of medical science · 2025Article
- Functional Outcomes in Aseptic Humeral Shaft Nonunion Treated With Plate Osteosynthesis: A Retrospective Cohort Study.Indian journal of orthopaedics · 2025Article
- Operative Management of Aseptic Humeral Shaft Nonunion: A Retrospective Study from Eastern India.Indian journal of orthopaedics · 2024Article
- Chest wall soft tissue thickness is associated with humeral shaft non-union: A radiographic study.Shoulder & elbow · 2024Article
- Anterograde Intramedullary Nailing without Bone Grafting for Humeral Shaft Nonunion Associated with Early Exploration of Secondary Radial Nerve Palsy: A Case Report.Neurology international · 2024Article
- Risk factors for secondary infection after liver failure and effect of comprehensive nursing intervention.World journal of clinical cases · 2024Article
- Trends in Epidemiology and Treatment of Humerus Fractures in the United States, 2017-2022.Cureus · 2024Article
- Comparing the Clinical and Radiographic Outcomes of Humeral Shaft Fractures by Treatment Type.Cureus · 2024Article
- Infected humeral shaft nonunion treatment with the induced membrane technique and a novel fixation construct: a case report.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Proximal fracture line extension in humeral shaft fractures.Journal of clinical orthopaedics and trauma · 2023Article
- Humerus fractures: selecting fixation for a successful outcome.OTA international : the open access journal of orthopaedic trauma · 2023Article
- Risk factors for nonunion following open reduction and internal fixation for proximal humerus fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Inadequate proximal screw fixation increases risk of failure following plate fixation of diaphyseal humerus fractures.Journal of orthopaedic surgery and research · 2023Article
- Fixation of Proximal Third Humeral Shaft Fractures in Older Patients.Geriatric orthopaedic surgery & rehabilitation · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHumeral shaft fractures account for 3% of adult fractures. Optimal management remains a topic of debate given variable union rates reported in the literature after surgery or functional bracing. The primary aim was to compare these 2 cohorts of patients and their primary fracture union rates. A secondary aim was to identify predictors of nonunion.
methodsA retrospective cohort study of 164 adult patients with traumatic humeral shaft fractures was performed. Fractures were classified according to the Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association classification. Primary outcomes included rate nonunion, including symptomatic fractures requiring conversion to open reduction and internal fixation (ORIF). Secondary outcomes included rates of complications and secondary procedures.
resultsNinety-four (57%) patients were treated initially with ORIF. Nonoperative patients were older (47.1 vs. 41.5 years,
conclusionPatients managed nonoperatively were more often older patients with isolated fractures and more medical comorbidity. Surgical candidates were younger, more often with higher energy injuries, and were frequently with concomitant injury. Primary union occurred in 88%, with a trend toward a higher rate after ORIF. Patients with chronic liver disease and/or alcohol abuse are at greater risk for nonunion, irrespective of treatment.
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