Background: Nonunion of the supracondylar area of the humerus is a very difficult area to treat. The Ilizarov method has been shown to be effective in the treatment of nonunion of the humeral diaphysis. However, there is little in the literature regarding the treatment of nonunion of the supracondylar area especially in post-infection cases.
Methods: Eight patients with a mean age of 45.73 ± 11.42 years were treated for post-infection nonunion of the supracondylar area of the humerus with the Ilizarov method and followed up for 3 years. All had undergone at least 2 previous failed operations. The patients were evaluated radiologically and clinically with an outcome survey using the Disabilities of the Arm, Shoulder and Hand (DASH) score.
Results: Solid union was achieved in all patients in a mean time of 6.87 ± 0.99 months. All patients had improvement in shoulder and elbow motion after treatment. The mean DASH score before surgery was 90.66 ± 5.66, whereas that after surgery was 24.62 ± 3.85. There was a significant improvement in the DASH score after surgery; the mean difference was 66.04 ± 1.81, with a t value of 35.88 (P < .001). All patients were satisfied with the treatment and returned to a more normal lifestyle with no pain, as well as complete soft-tissue recovery. None had recurrence of infection.
Conclusion: Ilizarov treatment for post-infection nonunion of the supracondylar humerus was shown to be effective, reliable, and tolerated by the patients.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jse.2011.04.021 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Article Synopsis
- Lateral condyle fractures are a common type of elbow fracture in children, second only to supracondylar fractures, and they can lead to early complications that may result in long-term issues.
- A study analyzed data from patients under 18 who suffered these fractures between 1966 and 2012, with a focus on incidence and long-term outcomes of the injuries.
- Out of 227 identified fractures, 177 had over 10 years of follow-up; complications occurred in 17% of cases with malunion being the most frequent issue, although the type of fracture or treatment did not significantly affect complication rates.
Fix or Replace? Comparable Outcomes With Internal Fixation and Distal Femoral Replacement for Periprosthetic Fractures Above Total Knee Arthroplasty.
J Arthroplasty
October 2024
Department of Orthopaedic Surgery, Rothman Orthopaedic Institute, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Background: The optimal treatment for periprosthetic fracture (PPfx) around total knee arthroplasty (TKA) remains a topic of debate. Due to its low incidence, comparative studies analyzing arthroplasty and fixation are lacking in the literature. The purpose of this study was to compare the outcomes of distal femoral replacement (DFR) and open reduction and internal fixation open reduction internal fixation (ORIF) for distal femur PPfx.
View Article and Find Full Text PDFFar cortical locking versus standard locking screw fixation in simulated femoral fractures: A biomechanical meta-analysis.
J Orthop
March 2025
Valley Consortium for Medical Education, 1400 Florida Ave Suite 200, Modesto, CA, 95350, USA.
Introduction: Far cortical locking (FCL) is a concept of locking plate fixation with reduced stiffness and symmetric micromotion to improve callus formation. The goal of our study was to review biomechanical data evaluating FCL plate and screw fixation versus standard locking (SL) plate and screw fixation by analyzing studies of cadaveric and synthetic bone models to draw biomechanical conclusions.
Methods: Biomechanical studies that compared FCL and SL plate fixation for simulated femoral fractures were reviewed for construct stiffness, load to failure, axial motion at the near and far cortices, and the difference between near and far cortical axial motion to demonstrate motion symmetry.
Management of Non-Union Distal Femur Fracture with Augmentation Nail-Plate Construct: A Case Report.
J Orthop Case Rep
September 2024
Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Introduction: Non-union fractures of the distal femur pose significant challenges in orthopedic surgery, often requiring revision procedures to achieve successful bone healing. In cases where the initial implant has failed, innovative solutions are necessary to promote bone union and functional recovery.
Case Report: We present a case of a non-union distal femur fracture in a 22-year-old male patient, with a broken implant in situ.
Successful Management of a Pediatric Patient with Humeral Lateral Condyle Non-union, Elbow Valgus Deformity and Ulnar Neuropathy.
Indian J Orthop
September 2024
Orthopaedics and Traumatology Department, Turgut Özal Medical Center, İnönü University Medical School, 44100 Malatya, Turkey.
Background: Humeral lateral condyle fracture is the most common elbow fracture in children after supracondylar fractures. Non-union of these fractures may cause ulnar nerve deficit, deformity and loss of joint motion, which are difficult to manage. Treatment of lateral condyle non-union can be done in two stages or one stage.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!