Anterior minimally invasive bridge-plate technique for treatment of humeral shaft nonunionReport as inadecuate




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Journal of Orthopaedics and Traumatology

, Volume 13, Issue 4, pp 211–216

First Online: 21 June 2012Received: 25 July 2011Accepted: 06 June 2012

Abstract

BackgroundThe present study introduces a new surgical technique and the results of a case series of patients with humeral shaft nonunion.

Materials and methodsFifteen 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.

ResultsBone 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.

ConclusionsThe 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.

KeywordsNonunion Humerus Bridge plate MIPO Ethical Standard: This study was approved by the Regional Ethics Committee Comitê de Ética em Pesquisa da Secretaria Municipal de Saúde de São Paulo—protocol number CAAE: 254.0.162.000-10.

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Author: Paulo Roberto VilaçaJr. - Marcelo Koh Uezumi

Source: https://link.springer.com/







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