Comparison of the treatment results of humerus diaphysis post-traumatic false joints using vascularized bone grafts with and without a monitor skin flap: Retrospective cohort study

BACKGROUND: The use of the microvascular flap in reconstructive surgery complicated nonunions diaphysis humerus is highly valuable. Flaps with compromised blood supply are possible up to 10% cases and often lead failure vascularized reconstruction. combined skin + bone graft a simple, useful, reliable option for vitality control high success rate.
 OBJECTIVE: To compare grafting versus without monitoring flap.
 MATERIALS AND METHODS: Forty-one was performed from 2010 2017 patients humeral non-union defects Department Microsurgery Trauma Hand Priorov National Medical Research Center Traumatology Orthopedics. A used 23 (56%) patients, 18 (44%) Computed tomography X-ray imaging were monitor healing. signal an effective way flow improves treatment results.
 RESULTS: In group flap, healing documented 14 (77%) cases. nonunion occurred 22 (96%) cases.
 CONCLUSION: Monitoring ensure outcomes