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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 6, 795-800.
doi: 10.1302/0301-620X.90B6.20392  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Callus distraction for humeral nonunion with bone loss and limb shortening caused by chronic osteomyelitis

T. Liu, MD, Orthopaedic Surgeon1; X. Zhang, MD, Orthopaedic Surgeon, Professor1; Z. Li, MD, Orthopaedic Surgeon1; W. Zeng, MD, Orthopaedic Surgeon1; D. Peng, MD, Orthopaedic Surgeon, Professor1; and C. Sun, MD, Orthopaedic Surgeon, Professor1

1 Department of Orthopaedics The 2nd Xiangya Hospital, Center South University, Changsha, Hunan, 410011 P. R. China.

Correspondence should be sent to Professor X. Zhang; e-mail: xiangshengzhang{at}hotmail.com

Nonunion of the humerus with bone loss and shortening due to osteomyelitis is rare but difficult to treat. We describe our experience with a callus distraction technique using a monolateral external fixator for the treatment of this condition.

Between October 1994 and January 2004, 11 patients were treated. There were seven males and four females, with a mean age of 14 years (10 to 17). The mean bone loss was 1.9 cm (1 to 2.7) and the mean length discrepancy in the upper limb was 5.6 cm (3.5 to 8.0).

The mean follow-up was for 106 months (54 to 166). The mean external fixation index was 34.8 days/cm (29.8 to 40.5). The mean lengthening was 9.5 cm (5.5 to 13.4). There were seven excellent results, three good and one poor. There were nine excellent functional results and two good.

The treatment of humeral nonunion with bone loss and shortening due to osteomyelitis by callus distraction is a safe and effective means of improving function and cosmesis.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General