Open reduction and internal fixation for humeral diaphyseal nonunion tied to high rate of union
Open reduction and internal fixation (ORIF) for humeral diaphyseal nonunion was associated with a high rate of union and routine bone grafting was not required and avoided the risk of donor site morbidity, reports a study.
The study is published in the Journal of Orthopaedic Trauma.
Oliver, William M. et al from the Edinburgh Orthopaedics – Edinburgh Orthopaedic Trauma, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom carried out the present study with the objective to document union rate, complications and patient-reported outcomes after open reduction and internal fixation (ORIF), with and without bone grafting (BG), for humeral diaphyseal nonunion after failed nonoperative management.
The authors conducted a retrospective study with 86 consecutive patients with a mean age 59 years (range 17–86), out of which 71% (n = 61/86) comprised of women. All underwent nonunion open reduction and internal fixation (plate and screws) at a mean of 7 months post injury (range 3–21.5). Eleven (13%) underwent supplementary bone grating procedure.
The study outcomes were established as union rate and complications for 83 patients (97%) at a mean of 10 months (3–61). Patient-reported outcomes for 53 living, cognitively-intact patients (78%) were at a mean of 4.9 years (0.3–9.2).
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