[Repair of humeral fracture and non-union with transfer of vascularized periosteal flap].
OBJECTIVE
To study the results of humeral fracture and non-union repaired by vascularized periosteal flap transfer.


METHODS
The clinical data of humeral fracture and non-union in 23 cases were analysized retrospectively since 1995. Among them, minuted or several segmental fracture in 12 cases, non-union in 11 cases, and following injury of radial nerve in 7 cases. The operative method was open reduction, inner or external fixation with vascularized periosteal flap transfer.


RESULTS
The period of follow-up was 6 months to 2 years. The repair result of all patients was excellent and good, but elbow joint motion in 2 cases of non-union was not satisfactory. The periosteal flap had good osteogenic ability. The period of bone union was 2 to 5 months in humeral fracture and non-union. And function of radial nerve was recovery.


CONCLUSIONS
Transfer of distal humeral periosteal flap pedicled with radial collateral vessels is a better method for humeral fracture and non-union.
Yu
A X
AX
Department of Microsurgery, Zhongnan Hospital of Wuhan University, Wuhan Hubei, P. R. China 430071.
Chen
Z G
ZG
Yu
G R
GR
D000293:Adolescent; D000328:Adult; D005260:Female; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010521:Periosteum / Q000098:blood supply / Q000637:transplantation*; D011826:Radial Nerve / Q000293:injuries; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies