Treatment of Humerus Nonunion Using G.A. Ilizarov Technique
نویسنده
چکیده
Humeral non unions are often painful and unstable Good surgical management is sometimes very difficult. Fixation with plates and screws and bone grafting may fail. The outcome of revision operation may be adversely affected by restricted movement of elbow. In most cases, the patient has been several times operated with resultant scarring and cicatrisation of the surrounding soft tissues. This renders the environment around the fracture site avascular. Nonunion occurs most commonly in transverse or comminuted middle and lower one third fractures, fractures with distraction or soft tissue interposition, open injuries, infection and fractures treated by internal fixation. Nonunion rate in closed fractures varies from 0-6%, while the nonunion rate after open reduction ranges from 0-12% [1]. Success rates after DCP and autogenous grafting ranges from 9095%. Recent studies showed that the G.A. Ilizarov Technique is more popular than vascularized bone grafts for humeral shaft nonunions [1-5].
منابع مشابه
Treatment of post-infection nonunion of the supracondylar humerus with Ilizarov external fixator.
BACKGROUND Nonunion of the supracondylar area of the humerus is a very difficult area to treat. The Ilizarov method has been shown to be effective in the treatment of nonunion of the humeral diaphysis. However, there is little in the literature regarding the treatment of nonunion of the supracondylar area especially in post-infection cases. METHODS Eight patients with a mean age of 45.73 ± 11...
متن کاملNonunion of the humerus after failure of surgical treatment. Management using the Ilizarov circular fixator.
We used the Ilizarov circular external fixator to treat 16 patients with persistent nonunion of the diaphysis of the humerus despite surgical treatment. All patients had pain and severe functional impairment of the affected arm. In ten, nonunion followed intramedullary nailing. We successfully treated these by a closed technique. The nail was left in place and the fracture compressed over it. T...
متن کاملIlizarov treatment of infected nonunions of the distal humerus after failure of internal fixation: an outcomes study.
OBJECTIVE To report the functional outcomes of Ilizarov treatment of infected nonunion of the distal humerus. DESIGN Prospective case series. SETTING Tertiary referral center. PATIENTS Between July 1998 and August 2003, 6 consecutive patients (age 33 to 73 years) were referred to us with an infected nonunion of the distal humerus following failure of open reduction and internal fixation. ...
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Nonunion of the humeral shaft in patients with antiepileptic drug associated metabolic bone disorder constitute a challenging surgical problem difficult to treat due to seizure activity, osteoporosis, and poor stabilization options. We report a case of nonunion of the humeral shaft in an antiepileptic drug patient with uncontrolled generalized tonic-clonic seizure activity successfully treated ...
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