Marchetti nailing with decortication and bone graft in non-unions of the two upper thirds of the humerus.
METHODS
Twelve patients with humeral shaft non-unions were treated using a Marchetti-Vicenzi nailing. The fractures site was decorticated and bone graft added.


RESULTS
Fracture healing was obtained in all cases. The mean healing time was 4.7 months. The range of motion of the shoulder was excellent in nine patients, moderate in two and poor in one. The elbow had an excellent range of motion in ten patients, moderate in one and poor in one. The functional result was excellent in nine patients, good in two, and fair in one.


CONCLUSIONS
Marchetti-Vicenzi nailing with bone grafting appears to be a good method for the treatment of humeral shaft non-unions. It is technically easy and its results are satisfactory.
Martínez
A A
AA
Service of Orthopaedic and Trauma Surgery, Miguel Servet University Hospital, C/Calamita s/n, 50009 Zaragoza, Spain. anmarti@wanadoo.es
Herrera
A
A
Cuenca
J
J
D000328:Adult; D000368:Aged; D001858:Bone Nails; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D017102:Fracture Healing; D005596:Fractures, Closed / Q000473:pathology / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D016896:Treatment Outcome