TY  - JOUR
T1  - Therapy of Non-Union of the Humeral Diaphysis-Comparison Between Locked and Conventional Implants
AU - , B. Kienast AU - , M. Wurm AU - , K. Seide AU - , A. Paech AU - , A.P. Schulz AU - , C.H. Jurgens AU - , C. Queitsch 
JO  - Surgery Journal
VL  - 3
IS  - 1
SP  - 13
EP  - 16
PY  - 2008
DA  - 2001/08/19
SN  - 1816-3211
DO  - sjour.2008.13.16
UR  - https://makhillpublications.co/view-article.php?doi=sjour.2008.13.16
KW  - Humeral non-union
KW  -plate osteosynthesis
KW  -angular stability
KW  -locked implants
AB  - In a retrospective study, we examined 43 patients with non-union of the humeral diaphys presenting in the time between January 1995 and January 2003. Fourteen patients had been treated with a 4.5 mm Low-Contact Dynamic Compression Plate (LCDCP) and autologous bone grafting; 29 patients were treated by an internal fixator with locked screws and also autologous bone grafting. The mean duration between trauma and operative treatment for the non-union was 18,3 month (5-58 month). An average of 1.5 previous operations had been performed before the final treatment. Primary nerve palsy was documented in 7 cases. All patients showed consolidation of the non-union at follow-up. In the LCDCP group two revisions in patients with osteoporosis were necessary, in the internal fixator group one re-osteosythesis was required after a plate failure. The range of movement of shoulder and elbow increased rapidly after treatment of the pseudarthroses.
ER  -