Functional Outcomes of Patients Treated with Fibula Strut Graft and Double Plate in the Treatment of Recalcitrant Humerus Nonunions

Authors : Selami KARADENİZ, Murat BÖLÜKBAŞI

Pages : 393-402

Doi:10.19127/mbsjohs.1093040

View : 20 | Download : 14

Publication Date : 2022-08-31

Article Type : Research Paper

Abstract :Objective: Recalcitrant humerus nonunion is challenging to treat, and plate fixation is a common treatment choice. This study aimed to determine the efficiency of double plating combined with nonvascularized autologous fibular strut allograft in the treatment of atrophic and defective humerus nonunions. Methods: Fourteen patients were surgically treated for recalcitrant humerus malunions. Demographic data insert ignore into journalissuearticles values(age, gender, dominant side);, clinical features, and previous surgical records of the patients were recorded preoperatively. Preoperative Visual Analogous Scale insert ignore into journalissuearticles values(VAS); and Constant-Murley scores of the patients were recorded before the surgery. Results: 10 insert ignore into journalissuearticles values(71.4%); of the patients were female, and 4 insert ignore into journalissuearticles values(28.5%); were male. The mean age was 53.07±9.69 insert ignore into journalissuearticles values(range, 39-67);. 9 insert ignore into journalissuearticles values(64.3%); of the patients had nonunions on the dominant side. The mean follow-up was 11.14±1.9 months. The complete union was observed in all patients, and the mean union time was 5.1±0.63 months insert ignore into journalissuearticles values(range, 4.2-6.0);. The mean preoperative VAS score was 7.29 ± 0.91 insert ignore into journalissuearticles values(range, 6-9);, and the mean postoperative VAS score was 0.93 ± 0.92 insert ignore into journalissuearticles values(range, 0-3);. VAS scores improved after the surgery insert ignore into journalissuearticles values(p<0.001);. The mean preoperative Constant-Murley score was 53.57 ± 12.17 insert ignore into journalissuearticles values(range 34-72);, and the mean postoperative Constant-Murley score was 86.00 ± 9.21. Constant-Murley scores improved after the surgery insert ignore into journalissuearticles values(p<0.001);. Gender insert ignore into journalissuearticles values(p=0.635);, dominant side involvement insert ignore into journalissuearticles values(p=0.112);, and age insert ignore into journalissuearticles values(p=0.925); did not correlate with union time. Conclusion: Double plating with autologous nonvascularized fibular grafts is a successful treatment option for recalcitrant humerus atrophic nonunions, especially with bony defects.
Keywords : recalcitrant humerus nonunion, double plating, nonvaskularized fibula grafts