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Trauma

Atrophic ununited diaphyseal fractures of the humerus with a bony defect

TREATMENT BY WAVE-PLATE OSTEOSYNTHESIS



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Abstract

We treated 15 patients with atrophic nonunion of a diaphyseal fracture of the humerus with an associated bony defect using an autogenous cancellous bone graft and a plate to bridge the defect. There were nine men and six women with a mean age of 48 years. The mean length of the bony defect was 3 cm.

At a mean follow-up of 30 months only one fracture failed to unite. This suggests that, in the presence of a well-vascularised envelope of muscle, the application of an autogenous cancellous bone graft in conjunction with a bridging plate represents a good alternative to more demanding surgical techniques.


Correspondence should be sent to Dr D. Ring at 11 Hancock Street, Unit 4, Boston, Massachusetts 02114, USA.

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