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Role of autologous non-vascularised intramedullary fibular strut graft in humeral shaft nonunions following failed plating.

著者 Kashayi-Chowdojirao S , Vallurupalli A , Chilakamarri VK , Patnala C , Chodavarapu LM , Kancherla NR , Khazi Syed AH
J Clin Orthop Trauma.2017 Nov ; 8(Suppl 2):S21-S30.
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Non-union humeral shaft fractures are seen frequently in clinical practice at about 2-10% in conservative management and 30% in surgically operated patients. Osteosynthesis using dynamic compression plate (DCP), intramedullary nailing, locking compression plate (LCP), Ilizarov technique along with bone grafting have been reported previously. In cases of prior failed plate-screw osteosynthesis the resultant osteopenia, cortical defect, bone loss, scalloping around screws and metallosis, make the management of non-union more complicated. Fibular graft as an intramedullary strut is useful in these conditions by increasing screw purchase, union and mechanical stability. This study is a retrospective and prospective follow up of revision plating along with autologous non-vascularised intramedullary fibular strut graft (ANVFG) for humeral non-unions following failed plate osteosynthesis.
PMID: 29339841 [PubMed]
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