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The use of a blade plate and autogenous cancellous bone graft in the treatment of ununited fractures of the proximal humerus.

Stable internal fixation is essential to obtain healing of an ununited fracture of the proximal humerus. Standard plate and screw fixation may be inadequate to secure a small, osteopenic proximal fragment. We used blade plates and autogenous cancellous bone graft to repair ununited fractures of the proximal humerus in 25 patients (19 women and 6 men) with a mean age of 61 years. Healing was documented in 23 of 25 patients (92%). Objective and subjective instruments documented substantial functional improvement in patients with healed fractures. The results were classified as good or excellent in 20 of 25 patients, and few complications were encountered. Blade plate fixation facilitates successful treatment of ununited fractures of the proximal humerus.

Adult↗
PubMed1988

[Endoprosthesis in ununited fractures and pseudarthroses of the femur neck in middle-aged and elderly patients].

An experience with the treatment of 92 patients with non-united fractures and false joints of the femoral neck is described. Among them there were 52 elderly and senile patients who were subjected to various kinds of endoprosthezing of the hip joint. The authors have established certain advantages of individual one-pole endoprostheses after A. V. Vorontsov as compared with a standard method of endoprostheses after Moore--CITO.

Age Factors↗
PubMed1984

Ununited fractures of the femur stabilized with the fluted rod.

Sixteen patients with ununited fractures of the femoral shaft were treated by the fluted intramedullary rod. Five cases were considered delayed unions and eleven nonunions. Fourteen fractures were managed by an open technique and two by a closed technique. Three of four cases treated open without a bone graft failed to unite after the initial nailing. These three fractures subsequently united following bone grafting. Two were renailed with a larger rod. Eventually, all 14 fractures united. The fluted rod appears to be an effective device for treating a variety of ununited fractures of the femur. Bone grafting in association with an open technique is advisable and is especially recommended when interposed connective tissue and bone have had to be excised from the fracture site.

Adult↗