Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
International Orthopaedics
Published in: International Orthopaedics 5/2003

01-10-2003 | Original Paper

Locked intramedullary nailing for difficult nonunions of the humeral diaphysis

Authors: I. Ilyas, D. A. Younge

Published in: International Orthopaedics | Issue 5/2003

Login to get access

Abstract

Antegrade intramedullary nailing and bone grafting was carried out for 27 patients with resistant atrophic nonunion of the humeral diaphysis. The initial fracture was open in 12 cases and closed in 15. There were ten proximal humeral fractures, 13 mid-shaft fractures and four distal humeral shaft fractures. Most had previous attempts at internal fixation with bone grafting. Fifteen cases united, but 12 remained ununited necessitating further surgical treatment. The failures were all in the more complex cases. Lack of rigidity and compression may be the problem.
Literature
1.
Bell MJ, Beauchamp CG, Kellam JK, MacMurtry RY (1985) The results of plating humeral shaft fractures in patients with multiple injuries. J. Bone Joint Surg [Am] 67:293–296
2.
Chapman JR, Henley MB, Angel J, Bench PJ (2000) Randomized prospective study of humerus shaft fracture fixation: Intramedullary nail versus plate. J Orthop Trauma. 14:162–166
3.
Farragos AF, Schemitsch EH, McKee MD (1999) Complications of intramedullary nailing for fractures of humeral shaft. A review. J Orthop Trauma 13:258–267PubMed
4.
Fattah HA, Halaa EE, Shary THA (1982) Non union of the humeral shaft: A report of 25 cases. Injury 14:225–262
5.
Flinkkila T, Ristiniemi J, Hamalainen M (2001) Non union after intramedullary nailing of humeral shaft fractures. J Trauma 50:540–544PubMed
6.
Foulk DA, Szabo RM (1995) Diaphyseal humerus fractures Natural history and occurrence of nonunion. Orthopaedics 18:333–335
7.
Healy WL, White GM, Mick CA, Brooker AF Jr, Weiland AJ (1987) Nonunion of the humeral shaft. Clin Orthop 219:206–213PubMed
8.
Hems TE, Bhullar TP (1996) Interlocking nailing of humeral shaft fractures the Oxford experience 1991 to 1994. Injury 27:485–489CrossRefPubMed
9.
Hornicek FJ, Zych GA, Hutson JJ, Malinin TI (2001) Salvage of humeral non-unions with onlay bone plate allograft augmentation. Clin Orthop 386:203–209PubMed
10.
Lammens J, Bauduin G, Driesen R, et al (1998) Treatment of non-union of the humerus with an Ilizarov external fixator. Clin Orthop 353:223–230
11.
Lin J (1998) Treatment of Humeral Shaft-Fractures with Humeral Locked Nail and Comparison with Plate Fixation. J Trauma 44:859–864PubMed
12.
Lin J, Hou SM, Hang YS, Chao EY (1997) Treatment of Humeral Shaft Fractures by Retrograde Locked Nailing. Clin Orthop 342:147–55PubMed
13.
Lin J, Hou SM, Hang YS (2000) Treatment of humeral shaft delayed unions and non-union with humeral locked nails. J Trauma 48:695–703PubMed
14.
McKee MD, Miranda MA, Riemer BL, Blasier RB, Redmond BJ, Sims SH, Waddell JP, Jupiter JB (1996) Management of humeral non-union after the failure of locking intramedullary nails. J Orthop Trauma 10:492–499CrossRefPubMed
15.
Paramasivan ON, Younge DA, Pant R (2000) Treatment of nonunion around the olecranon fossa of the humerus by intramedullary locked nailing. J Bone Joint Surg [Br] 82:332–335
16.
Patel VR, Menon DK, Pool RD, Simonis RB (2000) Non-union of humerus after failure of surgical treatment management using the Ilizarov Circular Fixator. J Bone Joint Surg [Br] 82:977–983
17.
Ring D, Jupiter JB, Quintero J, Sanders RA, Marti RK (2000) Atrophic ununited diaphyseal fractures of the humerus with a bone defect: treatment by wave plate osteosynthesis. J Bone Joint Surg [Br] 82:867–871
18.
Robinson CM, Bell KM, Court-Brown CM, McQueen MM (1992) Locked nailing of humeral shaft fractures: Experience in Edinburgh over a two year period. J Bone Joint Surg [Br] 74:558–562
19.
Rommens PM, Verbruggen J, Broos PL (1995) Retrograde locked nailing of humeral shaft fractures. J Bone Joint Surg [Br] 77:84–89
Metadata
Title
Locked intramedullary nailing for difficult nonunions of the humeral diaphysis
Authors
I. Ilyas
D. A. Younge
Publication date
01-10-2003
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 5/2003
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-003-0470-9

Other articles of this Issue 5/2003

International Orthopaedics 5/2003 Go to the issue

Book Review

David J. Dandy, Dennis J. Edwards: Essential orthopaedics and trauma, 4th edition

Letter to the Editor

Repair of a resistant tibial non-union with a recombinant bone morphogenetic protein-7 (rh-BMP-7)

Original Paper

Surgical management of isthmic spondylolisthesis with radicular pain

Letter to the Editor

Letter to the Editor

Original Paper

The role of osteophytic growth in hip osteoarthritis

Original Paper

Wear mode and wear mechanism of retrieved acetabular cups