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Results for “FRACTURES, UNUNITED”

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At least 235 records · Page 13Linked to original sources
PubMed2000

Atrophic ununited diaphyseal fractures of the humerus with a bony defect: treatment by wave-plate osteosynthesis.

We treated 15 patients with atrophic nonunion of a diaphyseal fracture of the humerus with an associated bony defect using an autogenous cancellous bone graft and a plate to bridge the defect. There were nine men and six women with a mean age of 48 years. The mean length of the bony defect was 3 cm. At a mean follow-up of 30 months only one fracture failed to unite. This suggests that, in the presence of a well-vascularised envelope of muscle, the application of an autogenous cancellous bone graft in conjunction with a bridging plate represents a good alternative to more demanding surgical techniques.

Adult↗
PubMed1986

Surgery for ununited clavicular fracture.

Twenty-four ununited, primarily conservatively treated clavicular fractures were treated operatively. The follow-up period averaged 3.5 years. In all cases, the primary displacement was at least equal to the clavicular thickness. The subjective outcome was good in 17 cases, satisfactory in six, and poor in one. In two cases, resection was performed. Our experience of rigid plate fixation and cancellous bone grafting was good with union in 20/22 cases. However, the operations are not uncomplicated and there is a risk of diminished muscle power and range of movement in the shoulder if the clavicle is shortened.

Adult↗
PubMed1976

Microvascular surgical techniques used to provide skin cover over an ununited tibial fracture.

A case is described in which a large area of unstable skin overlying a tibial fracture was replaced by a single stage skin flap transfer, using microvascular surgical techniques. The shortening of treatment time and the improvement in the local blood supply compared to that provided by orthodox skin flaps are noted. The improved blood supply at the fracture site may have encouraged bony union.

Adult↗
PubMed1992

Treatment of ununited tibial fractures: a comparison of surgery and pulsed electromagnetic fields (PEMF).

The use of pulsed electromagnetic fields (PEMF) is gaining acceptance for the treatment of ununited fractures. The results of 44 articles published in the English language literature have been compiled to assess the effectiveness of PEMF vs surgical therapy. For ununited tibial fractures, 81% of reported cases healed with PEMF vs 82% with surgery. After multiple failed surgeries, the success rate of PEMF is reported to be greater than with surgery; this discrepancy increases with additional numbers of prior surgeries. In infected nonunions, the results of surgical treatment decreased by 21% and were less than the results utilizing PEMF (69% vs 81%). In open fractures, surgical healing exceeded PEMF (89% vs 78%), whereas in closed injuries PEMF cases healed more frequently (85% vs 79%). In general, PEMF treatment of ununited fractures has proved to be more successful than noninvasive traditional management and at least as effective as surgical therapies. Given the costs and potential dangers of surgery, PEMF should be considered an effective alternative. Experience supports its role as a successful method of treatment for ununited fractures of the tibia.

Electromagnetic Fields↗