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| Shabir Ahmed Dhar,Mohammed Farooq Butt,Tahir Ahmed Dar,Reyaz Ahmed Dar,Zameer Ali.[J].Chin J Traumatol,2016,19(5):298-301. [doi] |
| Management of humeral fracture nonunion in severe osteoporosis by a combination of locking plating and intramedullary fibular grafting |
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| DOI： |
| KeyWord: OsteoporosisBone platesHumerusFractures, ununited |
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| Author Name | Affiliation | | Shabir Ahmed Dhar | SKIMS MC, Bemina Srinagar, Kashmir, Srinagar 190001, India | | Mohammed Farooq Butt | SKIMS MC, Bemina Srinagar, Kashmir, Srinagar 190001, India | | Tahir Ahmed Dar | SKIMS MC, Bemina Srinagar, Kashmir, Srinagar 190001, India | | Reyaz Ahmed Dar | SKIMS MC, Bemina Srinagar, Kashmir, Srinagar 190001, India | | Zameer Ali | SKIMS MC, Bemina Srinagar, Kashmir, Srinagar 190001, India |
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| Abstract: |
| Nonunion of the humerus in a severely osteoporotic bone is a likely event especially if the fracture is transverse. The management of such a combination is a challenge. Most of the conventional fixation
methods are unlikely to succeed as the bone failure precedes implant failure in osteoporosis. The
challenge is further compounded in severe osteoporosis when the cortical thickness is affected more
severely. We used a combination of an intramedullary fibula with a locking plate in 5 cases. The results show that it may be a good combination in such situations as the bone strength is augmented and the plate pullout is less likely. |
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