• Injury · May 2007

    Review

    Humeral diaphyseal aseptic non-unions: an Algorithm of management.

    • George M Kontakis, Theodoros Tosounidis, and Joseph Pagkalos.
    • Department of Orthopaedics - Traumatolosy, University of Crete, Greece. kontak@med.uoc.gr
    • Injury. 2007 May 1; 38 Suppl 2: S39-49.

    AbstractSuccessful operative treatment of a humeral shaft non-union may be a challenge for the surgeon. Several treatment options have been reported over the years. A systematic review of the literature was performed. Twenty-three retrieved articles (level of evidence IV) fulfilled our inclusion criteria and dealt with aseptic diaphyseal humeral non-union managed by plating, intramedullary nailing and external fixation based on Ilizarov's principles. Despite an obvious superiority of plating in the treatment of humeral shaft non-unions, there is no doubt that intramedullary nailing as well as external fixation devices have a role. An algorithm of management of the humeral shaft non-unions following a rational approach is suggested.

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