Management of humeral fracture nonunion in severe osteoporosis by a combination of locking plating and intramedullary fibular grafting

作     者：Shabir Ahmed Dhar Mohammed Farooq Butt Tahir Ahmed Dar Reyaz Ahmed Dar Zameer Ali Dhar Shabir Ahmed;Butt Mohammed Farooq;Dar Tahir Ahmed;Dar Reyaz Ahmed;Ali Zameer

作者机构：SKIMS MC Bemina Srinagar Kashmir Srinagar 190001 India 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2016年第19卷第5期

页      面：298-301页

核心收录：

学科分类：10[医学] 

主　　题：Osteoporosis Bone plates Humerus Fractures. ununited 

摘      要：Nonunion of the humerus in a severely osteoporotic bone is a likely event especially if the fracture is transverse. The management of such a combination is a challenge. Most of the conventional fixation methods are unlikely to succeed as the bone failure precedes implant failure in osteoporosis. The challenge is further compounded in severe osteoporosis when the cortical thickness is affected more severely. We used a coi＇nbination of an intramedullary fibula with a locking plate in 5 cases. The results show that it may be a good combination in such situations as the bone strength is augmented and the plate pullout is less likely.