Atrophic ununited diaphyseal fractures of the humerus with a bony defectTREATMENT BY WAVE-PLATE OSTEOSYNTHESISD. Ring, MD, Director of Research; and J. B. Jupiter, MD, Chief, Hand Surgery ServiceHarvard Medical School, Massachusetts General Hospital ACC 527, 15 Parkman Street, Boston, Massachusetts 02114, USA. J. Quintero, MD, Assistant Professor of Orthopaedics and Traumatology Hospital Clinica San Rafael, Centro Médico Almirante Colon, Carrera 16 no 84A-09 (310), CO-Bogota, Colombia, South America. R. A. Sanders, MD Alabama Sports Medicine and Orthopaedic Centre, 1201 11th Avenue South, Suite 200, Birmingham, Alabama 35205, USA. R. K. Marti, MD, Director of Orthopaedics Academisch Medisch Centrum, Meibergdreef 9, NL-1105 AZ Amsterdam, The Netherlands. Correspondence should be sent to Dr D. Ring at 11 Hancock Street, Unit 4, Boston, Massachusetts 02114, USA. 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. This article has been cited by other articles:
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