Dahmani O, Bouziane A, Shimi M, Elibrahimi A, Elmrini A
Service de chirurgie ostéo-articulaire (B4), CHU Hassan II, 30000 Fès, Maroc.
Chir Main. 2013 Apr;32(2):85-91. doi: 10.1016/j.main.2013.02.003. Epub 2013 Feb 28.
Although aseptic non-union of humeral shaft fractures is generally considered to be an exceptional complication, rates in the literature have varied from 1 to 10%. The aim of this retrospective study was to study the results of treatment by plating and bone grafting for aseptic non-union of humeral shaft fractures. The retrospective study gathered 20 patients, the mean age was 41 years. The most common fracture site was the middle third. For the follow-up evaluation, we used the Steward and Hundley score. According to this score, we noted: 13 very good results, five good results and two poor results. Management of non-union of the humerus should be optimal at immediate surgery. The best treatment of non-union of the humerus is its prevention by correct management of the initial fracture.
虽然肱骨干骨折的无菌性骨不连通常被认为是一种罕见的并发症，但文献报道的发生率在1%至10%之间。本回顾性研究的目的是探讨钢板内固定联合植骨治疗肱骨干骨折无菌性骨不连的效果。该回顾性研究纳入了20例患者，平均年龄为41岁。最常见的骨折部位是中1/3段。在随访评估中，我们采用了Steward和Hundley评分。根据该评分，我们发现：13例效果非常好，5例效果良好，2例效果较差。肱骨骨不连的治疗应在早期手术时达到最佳效果。预防肱骨骨不连的最佳方法是对初始骨折进行正确处理。
