Treatment of Persistent Non-Union of the Humerus Using a Vascularized Bone Graft from the Supracondylar Region of the Femur
ABSTRACT Six patients with recalcitrant post-traumatic humeral shaft non-unions were treated using vascularized bone grafts from the supracondylar region of the femur. The initial state of injury showed that four fractures were closed, while two were open fractures. At the acute stage, five fracture...
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| Veröffentlicht in: | Journal of reconstructive microsurgery 2007-02, Vol.23 (2), p.107-113 |
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| container_title | Journal of reconstructive microsurgery |
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| creator | Yajima, Hiroshi Maegawa, Naoki Ota, Hiroyoshi Kisanuki, Osamu Kawate, Kenji Takakura, Yoshinori |
| description | ABSTRACT
Six patients with recalcitrant post-traumatic humeral shaft non-unions were treated using vascularized bone grafts from the supracondylar region of the femur. The initial state of injury showed that four fractures were closed, while two were open fractures. At the acute stage, five fractures were fixed using intramedullary nailing, while one was fixed with a plate. In all patients, a bony flap was placed on the cortex after decortication. The size of the harvested bone flap ranged between 4 × 2.5 cm and 5 × 3 cm. After fixation of the bony flap, the inferior genicular artery and vein were anastomosed to the deep brachial artery and vein. The mean time required to obtain radiographic bone union was 3.3 months. The only graft-site complication involved transient mild paresthesia in the saphenous nerve area in one patient. This procedure was useful for atrophic nonunions without substantial bone defects of the humeral shaft. |
| doi_str_mv | 10.1055/s-2007-970182 |
| format | Article |
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Six patients with recalcitrant post-traumatic humeral shaft non-unions were treated using vascularized bone grafts from the supracondylar region of the femur. The initial state of injury showed that four fractures were closed, while two were open fractures. At the acute stage, five fractures were fixed using intramedullary nailing, while one was fixed with a plate. In all patients, a bony flap was placed on the cortex after decortication. The size of the harvested bone flap ranged between 4 × 2.5 cm and 5 × 3 cm. After fixation of the bony flap, the inferior genicular artery and vein were anastomosed to the deep brachial artery and vein. The mean time required to obtain radiographic bone union was 3.3 months. The only graft-site complication involved transient mild paresthesia in the saphenous nerve area in one patient. This procedure was useful for atrophic nonunions without substantial bone defects of the humeral shaft.</description><identifier>ISSN: 0743-684X</identifier><identifier>EISSN: 1098-8947</identifier><identifier>DOI: 10.1055/s-2007-970182</identifier><identifier>PMID: 17330207</identifier><identifier>CODEN: JRMIE2</identifier><language>eng</language><publisher>New York, NY: Thieme</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Bone Transplantation - methods ; Female ; Femur - blood supply ; Femur - transplantation ; Fracture Healing ; Fractures, Ununited - surgery ; General aspects ; Humans ; Humeral Fractures - surgery ; Male ; Medical sciences ; Middle Aged</subject><ispartof>Journal of reconstructive microsurgery, 2007-02, Vol.23 (2), p.107-113</ispartof><rights>Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-50ca7406b7aaa98b785d18395ac231b38faeee9c02dd97dee141b366a79bc72d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2007-970182.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-2007-970182$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>314,780,784,3017,3018,27924,27925,54559,54560</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18615901$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17330207$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yajima, Hiroshi</creatorcontrib><creatorcontrib>Maegawa, Naoki</creatorcontrib><creatorcontrib>Ota, Hiroyoshi</creatorcontrib><creatorcontrib>Kisanuki, Osamu</creatorcontrib><creatorcontrib>Kawate, Kenji</creatorcontrib><creatorcontrib>Takakura, Yoshinori</creatorcontrib><title>Treatment of Persistent Non-Union of the Humerus Using a Vascularized Bone Graft from the Supracondylar Region of the Femur</title><title>Journal of reconstructive microsurgery</title><addtitle>J reconstr Microsurg</addtitle><description>ABSTRACT
Six patients with recalcitrant post-traumatic humeral shaft non-unions were treated using vascularized bone grafts from the supracondylar region of the femur. The initial state of injury showed that four fractures were closed, while two were open fractures. At the acute stage, five fractures were fixed using intramedullary nailing, while one was fixed with a plate. In all patients, a bony flap was placed on the cortex after decortication. The size of the harvested bone flap ranged between 4 × 2.5 cm and 5 × 3 cm. After fixation of the bony flap, the inferior genicular artery and vein were anastomosed to the deep brachial artery and vein. The mean time required to obtain radiographic bone union was 3.3 months. The only graft-site complication involved transient mild paresthesia in the saphenous nerve area in one patient. This procedure was useful for atrophic nonunions without substantial bone defects of the humeral shaft.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Bone Transplantation - methods</subject><subject>Female</subject><subject>Femur - blood supply</subject><subject>Femur - transplantation</subject><subject>Fracture Healing</subject><subject>Fractures, Ununited - surgery</subject><subject>General aspects</subject><subject>Humans</subject><subject>Humeral Fractures - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><issn>0743-684X</issn><issn>1098-8947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1vFDEQhi0EIpdASYvcQIUT2_thu4SIfEgRQZBDdNasdzbZaNc-7HUR8ufxcSeFhmo0r555R3oIeSP4seBNc5KY5Fwxo7jQ8hlZCW4006ZWz8mKq7pira5_HpDDlO45F7UR8iU5EKqquORqRR5vIsIyo19oGOhXjGlMy3b7Ejxb-zH4bb7cIb3IM8ac6DqN_pYC_QHJ5Qni-Bt7-il4pOcRhoUOMcx_D77nTQQXfP9QKPoNb_8pO8M5x1fkxQBTwtf7eUTWZ59vTi_Y1fX55enHK-aqRi-s4Q5UzdtOAYDRndJNL3RlGnCyEl2lB0BE47jse6N6RFGXtG1Bmc4p2VdH5P2udxPDr4xpsfOYHE4TeAw5WcWlLA_qArId6GJIKeJgN3GcIT5Ywe3Wtk12a9vubBf-7b44dzP2T_RebwHe7YEiC6YhgndjeuJ0KxrDReE-7LjlbsQZ7X3I0Rcl__n7B8Fwll8</recordid><startdate>20070201</startdate><enddate>20070201</enddate><creator>Yajima, Hiroshi</creator><creator>Maegawa, Naoki</creator><creator>Ota, Hiroyoshi</creator><creator>Kisanuki, Osamu</creator><creator>Kawate, Kenji</creator><creator>Takakura, Yoshinori</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070201</creationdate><title>Treatment of Persistent Non-Union of the Humerus Using a Vascularized Bone Graft from the Supracondylar Region of the Femur</title><author>Yajima, Hiroshi ; Maegawa, Naoki ; Ota, Hiroyoshi ; Kisanuki, Osamu ; Kawate, Kenji ; Takakura, Yoshinori</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-50ca7406b7aaa98b785d18395ac231b38faeee9c02dd97dee141b366a79bc72d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Bone Transplantation - methods</topic><topic>Female</topic><topic>Femur - blood supply</topic><topic>Femur - transplantation</topic><topic>Fracture Healing</topic><topic>Fractures, Ununited - surgery</topic><topic>General aspects</topic><topic>Humans</topic><topic>Humeral Fractures - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yajima, Hiroshi</creatorcontrib><creatorcontrib>Maegawa, Naoki</creatorcontrib><creatorcontrib>Ota, Hiroyoshi</creatorcontrib><creatorcontrib>Kisanuki, Osamu</creatorcontrib><creatorcontrib>Kawate, Kenji</creatorcontrib><creatorcontrib>Takakura, Yoshinori</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of reconstructive microsurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yajima, Hiroshi</au><au>Maegawa, Naoki</au><au>Ota, Hiroyoshi</au><au>Kisanuki, Osamu</au><au>Kawate, Kenji</au><au>Takakura, Yoshinori</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment of Persistent Non-Union of the Humerus Using a Vascularized Bone Graft from the Supracondylar Region of the Femur</atitle><jtitle>Journal of reconstructive microsurgery</jtitle><addtitle>J reconstr Microsurg</addtitle><date>2007-02-01</date><risdate>2007</risdate><volume>23</volume><issue>2</issue><spage>107</spage><epage>113</epage><pages>107-113</pages><issn>0743-684X</issn><eissn>1098-8947</eissn><coden>JRMIE2</coden><abstract>ABSTRACT
Six patients with recalcitrant post-traumatic humeral shaft non-unions were treated using vascularized bone grafts from the supracondylar region of the femur. The initial state of injury showed that four fractures were closed, while two were open fractures. At the acute stage, five fractures were fixed using intramedullary nailing, while one was fixed with a plate. In all patients, a bony flap was placed on the cortex after decortication. The size of the harvested bone flap ranged between 4 × 2.5 cm and 5 × 3 cm. After fixation of the bony flap, the inferior genicular artery and vein were anastomosed to the deep brachial artery and vein. The mean time required to obtain radiographic bone union was 3.3 months. The only graft-site complication involved transient mild paresthesia in the saphenous nerve area in one patient. This procedure was useful for atrophic nonunions without substantial bone defects of the humeral shaft.</abstract><cop>New York, NY</cop><pub>Thieme</pub><pmid>17330207</pmid><doi>10.1055/s-2007-970182</doi><tpages>7</tpages></addata></record> |
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| ispartof | Journal of reconstructive microsurgery, 2007-02, Vol.23 (2), p.107-113 |
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| source | Thieme - Connect here FIRST to enable access; MEDLINE |
| subjects | Adult Aged Biological and medical sciences Bone Transplantation - methods Female Femur - blood supply Femur - transplantation Fracture Healing Fractures, Ununited - surgery General aspects Humans Humeral Fractures - surgery Male Medical sciences Middle Aged |
| title | Treatment of Persistent Non-Union of the Humerus Using a Vascularized Bone Graft from the Supracondylar Region of the Femur |
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