Recalcitrant posttraumatic nonunion of the humerus: 23 patients reconstructed with vascularized bone graft.

@article{Muramatsu2003RecalcitrantPN,
  title={Recalcitrant posttraumatic nonunion of the humerus: 23 patients reconstructed with vascularized bone graft.},
  author={Keiichi Muramatsu and Kazuteru Doi and Koichiro Ihara and Mitsunori Shigetomi and Shinya Kawai},
  journal={Acta orthopaedica Scandinavica},
  year={2003},
  volume={74 1},
  pages={95-7}
}
We treated 23 patients with recalcitrant posttraumatic humeral shaft nonunion with vascularized bone grafts (fibula 10, femur 10 and scapula 3). 21/23 patients healed primarily. Venous thrombosis in the graft necessitated postoperative thrombectomy in 2 patients. Complications at the donor site were trivial. We used a vascularized fibular graft in patients with a large bone defect and with poor intrinsic stability of the nonunion site and a corticoperiosteal femoral graft in atrophic nonunion… CONTINUE READING

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