[article] 
inActa Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.501-510

Titre :	Operative management of humeral nonunions. Factors that influence the outcome
Type de document :	texte imprimé
Auteurs :	Antonios KOUTALOS, Auteur ; Sokratis Varitimidis, Auteur ; Zoe Dailiana, Auteur
Année de publication :	2015
Article en page(s) :	p.501-510
Langues :	Anglais (eng)
Mots-clés :	Humeral nonunion  plate fixation  bone graft  infection  atrophic nonunion
Résumé :	The purpose of this study is to present the outcome of surgically treated humeral nonunions and find factors that affect the outcome. Fortytwo patients with humeral nonunions (30 shaft, 7 proximal and 5 distal) were reviewed in a prospective manner. Treatment was based on a specific algorithm. Demographics, time to union, range of motion, functional outcome and complications were recorded and analysed. Results: Mean follow-up was 78 months and mean time to union was 4.3 months. Infection was associated with delayed union of the pseudarthrosis, while range of motion was negatively affected by the location (proximal) and the AO type of the initial fracture. Complication rate was 17%. Conclusion: The surgical management of humeral nonunions yields a favourable outcome with reduced rate of complications. Infection prolonged healing time, while proximal location of the nonunion and the type B or C fracture according to AO/OTA classification adversely affected range of motion.
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[article] Operative management of humeral nonunions. Factors that influence the outcome [texte imprimé] / Antonios KOUTALOS, Auteur ; Sokratis Varitimidis, Auteur ; Zoe Dailiana, Auteur . - 2015 . - p.501-510.
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol. 81/3 (Septembre 2015) . - p.501-510

Mots-clés :	Humeral nonunion  plate fixation  bone graft  infection  atrophic nonunion
Résumé :	The purpose of this study is to present the outcome of surgically treated humeral nonunions and find factors that affect the outcome. Fortytwo patients with humeral nonunions (30 shaft, 7 proximal and 5 distal) were reviewed in a prospective manner. Treatment was based on a specific algorithm. Demographics, time to union, range of motion, functional outcome and complications were recorded and analysed. Results: Mean follow-up was 78 months and mean time to union was 4.3 months. Infection was associated with delayed union of the pseudarthrosis, while range of motion was negatively affected by the location (proximal) and the AO type of the initial fracture. Complication rate was 17%. Conclusion: The surgical management of humeral nonunions yields a favourable outcome with reduced rate of complications. Infection prolonged healing time, while proximal location of the nonunion and the type B or C fracture according to AO/OTA classification adversely affected range of motion.
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