Management of humeral fracture nonunion in severe osteoporosis by a combination of locking plating and intramedullary fibular grafting

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• 作者：Shabir Ahmed Dhar ; ^{shabirdhar@yahoo.co.in" class="auth_mail" title="E-mail the corresponding author} ; Mohammed Farooq Butt ; Tahir Ahmed Dar ; Reyaz Ahmed Dar ; Zameer Ali
• 关键词：Osteoporosis ; Bone plates ; Humerus ; Fractures ; ununited
• 刊名：Chinese Journal of Traumatology (English Edition)
• 出版年：2016
• 出版时间：13 October 2016
• 年：2016
• 卷：19
• 期：5
• 页码：298-301
• 全文大小：573 K

文摘

Nonunion of the humerus in a severely osteoporotic bone is a likely event especially if the fracture is transverse. The management of such a combination is a challenge. Most of the conventional fixation methods are unlikely to succeed as the bone failure precedes implant failure in osteoporosis. The challenge is further compounded in severe osteoporosis when the cortical thickness is affected more severely. We used a combination of an intramedullary fibula with a locking plate in 5 cases. The results show that it may be a good combination in such situations as the bone strength is augmented and the plate pullout is less likely.