title: Management of non-union of humeral fractures with the Stryker T2 compression nail.
abstract: BACKGROUND
  Fractures of the humeral shaft are relatively common injuries and the majority achieve union uneventfully; however, non-union rates of up to 13% are reported when managed either conservatively or operatively. Despite the many surgical techniques described for the management of non-unions, including plate fixation, intramedullary nailing or external fixation, some cases remain resistant to treatment with ongoing problems achieving union.
  
  
  METHODS
  We describe a technique using the Stryker T2 humeral nail which incorporates a compression system allowing closure of the non-union fracture gap. Twelve patients underwent compression nailing for established humeral fracture non-union. All achieved radiological union at an average of 4.5 months (range 3-12 months).
  
  
  RESULTS
  All patients reported a return to their normal pre-injury level of activities.
  
  
  CONCLUSIONS
  We conclude that this technique of intramedullary nailing with a novel compression technique is effective in the treatment of humeral shaft fracture non-union.
authors.affiliation: Trauma and Orthopaedics, Royal Orthopaedic Hospital, Birmingham, UK. fenton1977@hotmail.com
authors.forename: Paul
authors.initials: P
authors.lastname: Fenton
authors.forename: Ford
authors.initials: F
authors.lastname: Qureshi
authors.forename: Nithin
authors.initials: N
authors.lastname: Bejjanki
authors.forename: David
authors.initials: D
authors.lastname: Potter
mesh_terms: D000328:Adult; D000368:Aged; D001858:Bone Nails; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult