Nonunions of the humerus – treatment concepts and results of the last five years

Purpose: Fractures of the humerus account for 5%–8% of all fractures. Nonunion is found with an incidence of up to 15%, depending on the location of the fracture. In case of a manifest nonunion the surgeon faces a challe
Purpose: Fractures of the humerus account for 5%–8% of all fractures. Nonunion is found with an incidence of up to 15%, depending on the location of the fracture. In case of a manifest nonunion the surgeon faces a challenging problem and has to conceive a therapy based on the underlying pathology. The aim of this study was to describe our treatment concepts for this entity and present our results of the last five years.
Methods: Twenty-six patients were treated for nonunion of the humerus between January 2013 and December 2017. Their charts were reviewed retrospectively and demographic data, pathology, surgical treatment and outcome were assessed.
Results: The most frequent location for a nonunion was the humeral shaft, with the most common trauma mechanism being multiple falls. Most often atrophic nonunion (n = 14), followed by hypertrophic and infection-caused nonunion (each n = 4), were found. Our treatment concept could be applied in 19 patients, of which in 90% of those who were available for follow-up consolidation could be achieved.
Conclusion: Humeral nonunion is a heterogeneous entity that has to be analyzed precisely and be treated correspondingly. We therefore present a treatment concept based on the underlying pathology.
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Metadaten
Author:Maximilian Leiblein, René Verboket, Ingo Marzi, Nils Wagner, Christoph Nau
URN:urn:nbn:de:hebis:30:3-527587
DOI:http://dx.doi.org/10.1016/j.cjtee.2019.04.002
ISSN:1008-1275
Pubmed Id:http://www.ncbi.nlm.nih.gov/pubmed?term=31109830
Parent Title (English):Chinese journal of traumatology
Publisher:Chinese Medical Journals ; Elsevier
Place of publication:Beijing ; [Amsterdam?]
Document Type:Article
Language:English
Year of Completion:2019
Date of first Publication:2019/05/04
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2020/03/23
Tag:Delayed union; Humeral fractures; Humerus; Nonunion
Volume:22
Issue:4
Pagenumber:9
First Page:187
Last Page:195
Note:
© 2019 Chinese Medical Association. Production and hosting by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
HeBIS PPN:464656281
Institutes:Medizin
Dewey Decimal Classification:610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License LogoCreative Commons - Namensnennung-Nicht kommerziell - Keine Bearbeitung 4.0

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