Anterior minimally invasive bridge-plate technique for treatment of humeral shaft nonunion

被引：11

作者：

Vilaca P.R. ^{[1
]}

Uezumi M.K. ^{[1
]}

机构：

[1] Brazilian Orthopaedics and Traumatology Society - SBOT, Associação Beneficente Nossa Senhora Do Pari, Hospital Nossa Senhora Do Pari, São Paulo SP, Rua Hannemann

来源：

Journal of Orthopaedics and Traumatology | 2012年 / 13卷 / 4期

关键词：

Bridge plate; Humerus; MIPO; Nonunion;

D O I：

10.1007/s10195-012-0203-1

中图分类号：

学科分类号：

摘要：

Background: The present study introduces a new surgical technique and the results of a case series of patients with humeral shaft nonunion. Materials and methods: Fifteen patients with diagnosis of diaphyseal nonunion of humerus were operated by a bridge-plate technique. A 4.5-mm plate is slid on the anterior surface of the humerus, submuscular to the brachial muscle. With the plate over the anterior surface of the humerus, screws are inserted from anterior to posterior on the ends of the plate. When there is a small bone gap, an iliac autologous graft is inserted. Minimum follow-up was 1 year. Results: Bone healing was obtained in all patients: 1.5 months postoperatively in 11 patients, 2 months in 3 patients, and 3 months in 1 patient. There were no postoperative infections, there was one case with loosening of the screws and plate, and there were no nerve injuries. Conclusions: The present technique avoids wide dissection, radial nerve isolation, and periosteum stripping. The anterior minimally invasive bridge-plate technique for treatment of humeral shaft nonunion is a safe procedure and obtained bone healing in all patients in this series. © 2012 The Author(s).

引用

页码：211 / 216

页数：5

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