Open AccessEffectiveness of vascularized and conventional bone grafting in achieving union in humeral pseudarthrosis
Author(s) -
I. O Golubev,
A. R Sarukhanyan,
Меркулов М. М,
O. M Bushuev,
G. N Shiryaeva,
I. A Kutepov,
А. А. Максимов,
М В Капырина,
G.G. Balyura
Publication year - 2021
Publication title -
genij ortopedii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.141
H-Index - 3
eISSN - 2542-131X
pISSN - 1028-4427
DOI - 10.18019/1028-4427-2021-27-2-182-186
Subject(s) - nonunion , medicine , bone grafting , pseudarthrosis , surgery , intramedullary rod , bony union , internal fixation , malunion , bone healing , vascularity , reduction (mathematics) , humerus , grafting , materials science , mathematics , composite material , polymer , geometry
Humeral fractures comprise from 5 % to 8 % of all fractures. Nonunion rate of humeral fractures is 5.5–8.7% with open reduction and internal fixation (ORIF) technique and 3–5.6 % with the use of locked intramedullary nailing technique. Its frequent causes are infection, poor vascularity, severe comminution or technical errors. Purpose Analysis of effectiveness of vascularized bone grafting and non-vascularized bone grafting in humeral nonunion and defect treatment. Material and methods Surgical management of 69 patients with humeral nonunion was performed from 2010 to 2017 at a single institution in two groups. Vascularized bone grafts were used in 41 cases and non-vascularized ones in 28 cases. X-rays and CT-scans of all the patients were studied. Results In the vascularized bone grafting group, union was achieved in 36 cases (88 %) after four to 6 months; in non-vascularized bone group union was achieved in 20 cases (71 %) after eight to 12 months. Conclusion In post-traumatic humeral nonunion and bone defects, after two or more failed surgical procedures performed previously, vascularized bone grafting yields more satisfactory results and reduces the total healing time.