Abstract
ObjectiveWe evaluated the treatment of nonunion of humeral shaft fracture with dynamic compression plate from January 2002 to December 2009.MethodsTwenty-two patients were treated over the study period. Trauma was the predominant cause of injury in 86.4% of the patients.ResultsNonunion was atrophic in 81.8% and hypertrophic in 18.2% of the individuals. There was a primary injury of the radial nerve in 27.3% of the patients. All the participants had closed fracture at presentation, and 81.2% had received previous treatment from traditional bone setters and 18.8% had failure of the conservative cast management. The average time to healing was 16 weeks. Previous treatment from traditional bone setters significantly affected the time to fracture healing (p<0.05). All fractures had successful union.ConclusionIt was concluded that dynamic compression plating remains an effective treatment option for nonunion of humeral shaft fracture. Level of Evidence III, Retrospective study.
Highlights
We evaluated the treatment of nonunion of humeral shaft fracture with dynamic compression plate from January 2002 to December 2009
We evaluated the use of dynamic compression plate (DCP) in the operative treatment of patients with nonunion of humeral shaft fractures
It was observed that more than 80% of the patients in this study had previous treatment with traditional bone setters
Summary
Olasinde Anthony Ayotunde[1], Oluwadiya Kehinde Sunday[2], Adetan Oluwatoyin[1], Ogunlusi Johnson Dare[3]
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