Abstract
Distal humerus nonunions impart significant functional impairment and may be difficult to treat. Surgical treatment options include open reduction and internal fixation (ORIF), total elbow arthroplasty, and elbow arthrodesis. A vast majority of patients are best served with ORIF, with or without bone grafting. The goals of ORIF are to restore bony anatomy and bicolumnar structural integrity and provide an environment that is mechanically and biologically conducive to bony union.
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