title: Management of humeral fracture nonunion in severe osteoporosis by a combination of locking plating and intramedullary fibular grafting.
abstract: Nonunion of the humerus in a severely osteoporotic bone is a likely event especially if the fracture is transverse. The management of such a combination is a challenge. Most of the conventional fixation methods are unlikely to succeed as the bone failure precedes implant failure in osteoporosis. The challenge is further compounded in severe osteoporosis when the cortical thickness is affected more severely. We used a combination of an intramedullary fibula with a locking plate in 5 cases. The results show that it may be a good combination in such situations as the bone strength is augmented and the plate pullout is less likely.
authors: SKIMS MC, Bemina Srinagar, Kashmir, Srinagar 190001, India.
authors: Shabir-Ahmed
authors: SA
authors: Dhar
authors: Mohammed-Farooq
authors: MF
authors: Butt
authors: Tahir-Ahmed
authors: TA
authors: Dar
authors: Reyaz-Ahmed
authors: RA
authors: Dar
authors: Zameer
authors: Z
authors: Ali
mesh_terms: D000368:Aged; D001860:Bone Plates; D005260:Female; D005360:Fibula / Q000637:transplantation*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications*