title: Long-term follow-up of persistent humeral shaft non-unions treated with tricortical bone grafting and compression plating.
abstract: Three percent of all fractures occur in the humeral shaft. A very high union rate is achieved with nonoperative treatment. When non-unions occur, however, they are often very difficult to treat, and often require multiple procedures to achieve union. Even with multiple procedures, true pseudoarthroses have only a 59% union rate10. We conducted a retrospective study of ten patients having persistent non-union of the humeral shaft, three of whom had a true pseudoarthrosis. An patients were treated with a compression plate and a tricortical iliac crest bone graft anchored rigidly across the fracture site with two screws applied at 90 degrees to the plate. A solid union was achieved in all ten (100%) patients.
authors.forename: A
authors.initials: A
authors.lastname: Billings
authors.forename: S S
authors.initials: SS
authors.lastname: Coleman
mesh_terms: D000328:Adult; D000368:Aged; D001860:Bone Plates; D016025:Bone Transplantation; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies