Trotter D H, Dobozi W
Clin Orthop Relat Res. 1986 Mar(204):162-8.
Five patients with humeral nonunions were treated by open reduction and internal fixation with compression plating and adjunctive methylmethacrylate inserted by use of several techniques to gain secure screw purchase in markedly osteoporotic bone. The rigid fixation was supplemented in each case with cortical-cancellous bone grafting. Postoperative abduction splinting was applied in each case. The average follow-up examination was 24 months, with all five nonunions having healed at an average of five months postoperation. The shoulder arc of motion averaged 120 degrees, and the elbow arc of motion averaged 125 degrees.
5例肱骨干骨不连患者接受切开复位内固定术，采用加压钢板固定，并通过多种技术辅助植入甲基丙烯酸甲酯，以确保在明显骨质疏松的骨中获得可靠的螺钉把持力。每例均辅以皮质-松质骨移植。术后均应用外展夹板。平均随访24个月，所有5例骨不连均在术后平均5个月愈合。肩关节活动弧度平均为120度，肘关节活动弧度平均为125度。
