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Closed Compression Nailing Using a New-Generation Intramedullary Nail without Autologous Bone Grafting for Humeral Shaft Nonunion

Fukumoto, Genta Fukui, Tomoaki Ooe, Keisuke Inui, Atsuyuki Mifune, Yutaka Kuroda, Ryosuke Niikura, Takahiro 神戸大学

2021.04.12

概要

Introduction. Although the recommended treatment for humeral shaft nonunion is compression plating with autologous bone grafting, we treated a case of humeral shaft nonunion with an intramedullary nail (IMN) without bone grafting. Presentation of Case. Osteosynthesis with IMN was performed on a 24-year-old man with a humeral shaft fracture at another hospital. However, bony union was not obtained 1 year after the first surgery, and he was referred to our institution. We treated the nonunion with exchange nailing without autologous bone grafting using compression function of the nail, leading to bony union at 7 months postoperatively. At the final follow-up 2 years and 4 months postoperatively, the patient had full range of motion in the left shoulder and elbow joints. Discussion. Compression plating with autologous bone grafting is reported to be the gold standard for the treatment of humeral shaft nonunion. IMN is advantageous for minimal invasion; however, the conventional type of IMN cannot apply compression force between fragments and does not have sufficient stability against rotational force. In this case, we used an IMN that could apply compression between the fragments and which had rotational stability via many screws. We did not perform bone grafting because the current nonunion was adjudged to be biologically active, and we achieved good functional results. Conclusion. We treated humeral shaft nonunion using IMN with compression, but without bone grafting, leading to successful clinical outcomes. This strategy might be an appropriate choice for the treatment of humeral shaft nonunion with biological activity.

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参考文献

[1] M. R. Brinker and D. P. O’Connor, “The incidence of fractures

and dislocations referred for orthopaedic services in a capitated population,” The Journal of Bone and Joint Surgery.

American Volume, vol. 86, no. 2, pp. 290–297, 2004.

[2] A. K. Singh, G. R. Arun, and N. Narsaria, “Treatment of nonunion of humerus diaphyseal fractures: a prospective study

comparing interlocking nail and locking compression plate,”

Archives of Orthopaedic and Trauma Surgery, vol. 134, no. 7,

pp. 947–953, 2014.

[3] D. C. Templeman and S. A. Sims, “Humeral shaft fractures,” in

Surgical Treatment of Orthopaedic Trauma, J. P. Stannard, A.

H. Schmidt, and P. J. Kregor, Eds., pp. 263–284, Thieme Medical Publishers, New York, 2007.

[4] A. Denard, J. E. Richards, W. T. Obremskey, M. Floyd, and

G. A. Herzog, “Outcomes of nonoperative vs operative treatment of humeral shaft fractures: a retrospective study of 213

patients,” Orthopaedics, vol. 33, p. 552, 2010.

[5] I. D. Idoine 3rd, B. G. French, J. M. Opalek, and L. DeMott,

“Plating of acute humeral diaphyseal fractures through an

anterior approach in multiple trauma patients,” Journal of

Orthopaedic Trauma, vol. 26, no. 1, pp. 9–18, 2012.

[6] D. Heim, F. Herkert, P. Hess, and P. Regazzoni, “Surgical treatment of humeral shaft fractures – the Basel experience,” The

Journal of Trauma, vol. 35, no. 2, pp. 226–232, 1993.

[7] R. K. Marti, C. C. P. M. Verheyen, and P. P. Besselaar,

“Humeral shaft nonunion: evaluation of uniform surgical

repair in fifty-one patients,” Journal of Orthopaedic Trauma,

vol. 16, no. 2, pp. 108–115, 2002.

[8] R. M. Peters, F. M. A. P. Claessen, J. N. Doornberg, G. P.

Kolovich, R. L. Diercks, and M. P. J. van den Bekerom, “Union

rate after operative treatment of humeral shaft nonunion-a systematic review,” Injury, vol. 46, no. 12, pp. 2314–2324, 2015.

[9] S. Fukuhara, J. E. Ware Jr., M. Kosinski, S. Wada, and

B. Gandek, “Psychometric and clinical tests of validity of the

Japanese SF-36 Health Survey,” Journal of Clinical Epidemiology, vol. 51, no. 11, pp. 1045–1053, 1998.

[10] T. Imaeda, S. Toh, Y. Nakao et al., “Validation of the Japanese

Society for Surgery of the Hand version of the Disability of the

Arm, Shoulder, and Hand questionnaire,” Journal of Orthopaedic Science, vol. 10, no. 4, pp. 353–359, 2005.

[11] H. Christian, S. Domenico, B. Jose, P. Margaret, and L. David,

“Plate fixation of ununited humeral shaft fractures: effect of

type of bone graft on healing,” The Journal of Bone and Joint

Surgery, vol. 88, pp. 1442–1447, 2006.

[12] D. Nicholas, “Management of humeral shaft fractures; nonoperative versus operative,” Archives Trauma, vol. 4, no. 2,

article e28013, 2015.

[13] T. Paul, M. William, F. Robert, M. Margaret, D. Michael,

and M. Charles, Rockwood and Green’s Fractures in Adults,

vol. 1, Wolters Kluwer, 9th edition, 2018.

[14] J. B. Jupiter and H. Wyss, “Stable fixation of osteoporotic fractures and nonunions in the upper limb-life before the “Locking

plate”,” Acta Chirurgiae Orthopaedicae et Traumatologiae

Cechoslovaca, vol. 77, no. 5, pp. 361–364, 2010.

[15] V. R. Patel, D. K. Menon, R. D. Pool, and R. B. Simonis, “Nonunion of the humerus after failure of surgical treatment management using the Ilizarov circular fixator,” Journal of Bone

and Joint Surgery, vol. 82-B, no. 7, pp. 977–983, 2000.

[16] T.-L. Hsu, F.-Y. Chiu, C.-M. Chen, and T.-H. Chen, “Treatment of nonunion of humeral shaft fracture with dynamic

compression plate and cancellous bone graft,” Journal Chinese

Medical, vol. 68, no. 2, pp. 73–76, 2005.

[17] J. Gessmann, M. Königshausen, M. O. Coulibaly, T. A.

Schildhauer, and D. Seybold, “Anterior lining of aseptic

pseudoarthrosis augmentation of the humerus axis after

intramedullary nail,” Archives of Orthopaedic and Trauma

Surgery, vol. 136, no. 5, pp. 631–638, 2016.

[18] C. Allende, F. Vanoli, L. Gentile, and N. Gutierrez, “Minimally

invasive plaque osteosynthesis in non-union of the humerus

after intramedullary nail,” International Orthopaedics,

vol. 42, no. 11, pp. 2685–2689, 2018.

[19] C. C. Kesemenli, M. Subasi, H. Arslan, S. Necmioglu, and

A. Kapukaya, “Treatment of humeral diaphyseal nonunions

by interlocked nailing and autologous bone grafting,” Acta

Orthopaedica Belgica, vol. 68, no. 5, pp. 471–475, 2002.

[20] P. V. Giannoudis, T. A. Einhorn, and D. Marsh, “Fracture

healing: the diamond concept,” Injury, vol. 38, no. S4,

pp. S3–S6, 2007.

[21] L. Maximilian, V. Rene, M. Ingo, W. Nils, and N. Christoph,

“Nonunions of the humerus e treatment concepts and results

of the last five years,” Chinese Jounal of Traumatology,

vol. 22, pp. 187–195, 2019.

[22] A. Nauth, M. Lee, M. J. Gardner et al., “Principles of nonunion

management: state of the art,” Journal of Orthopaedic Trauma,

vol. 32, no. 3, pp. S52–S57, 2018.

[23] L. Mills, J. Tsang, and G. Hopper, “The multifactorial aetiology

of fracture nonunion and the importance of searching for

latent infection,” Bone Joint Research, vol. 5, article 512e519,

2016.

[24] G. P. Rajan, J. Fornaro, O. Trentz, and R. Zellweger, “Cancellous allograft versus autologous bone grafting for repair of

comminuted distal radius fractures: a prospective, randomized

trial,” The Journal of Trauma, vol. 60, no. 6, pp. 1322–1329,

2005.

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