Humeral shaft non-union in the elderly: Results with cortical graft plus stem cells

Toro, Giuseppe; Lepore, Federica; Calabrò, Giampiero; Toro, Gabriella; Rossini, Marco; Vasso, Michele; Panni, Alfredo Schiavone

doi:10.1016/j.injury.2019.01.050

Cited by 16 publications

(12 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The application of a contralateral strut graft provides both biomechanical and biological advantages in long bones fractures and non-unions. 19,49,50 A series of 40 patients with PFF treated using a cortical strut graft (alone or associated with a plate) reported a union rate of 98% with satisfactory femoral alignment and bone stock. 51 Moreover, Robison et al 19 also support this type of surgery for the treatment of APFF considering that the transverse/short oblique fracture has a low rotational stability that is poorly controlled by the use of a single lateral plate, as mentioned above.…”

Section: Discussionmentioning

confidence: 99%

Atypical periprosthetic femoral fractures of the hip: characterisation of three cases

et al. 2020

Self Cite

View full text Add to dashboard Cite

Introduction: Long-term use of bisphosphonates (BPs) has been associated with a specific type of tensile side femoral stress fracture known as Atypical Femoral Fracture (AFF). Theoretically periprosthetic femoral fractures (PFF) should be excluded from the diagnosis of AFF. However, emerging evidence correlates prolonged BPs use with the occurrence of a type of PFF with an atypical pattern (atypical PFF, APFF). The aim of the present study is to report 3 cases of APFF treated at a single centre. Methods: Clinical and radiographic records of PFF that occurred between January 2016 and August 2018 were retrospectively reviewed. All patients meeting the American Society for Bone and Mineral Research (ASBMR) criteria for definition of PFF were included. Management strategies for APFF and patient outcomes, including fracture healing and hip function (assessed by the Oxford Hip Score [OHS]) were collected. Results: 3 patients in the study period were identified as APFF (1 incomplete, 2 complete). All patients were females with a mean age of 83.3 years. All patients were treated with lateral plating. The application of a contralateral strut allograft resulted in fracture healing in cases of complete fractures. Mean OHS at final follow-up was 34.3. Conclusions: Despite occurring around a hip stem like PFF, APFF had peculiar clinical and radiographic features, making them more similar to AFF. Therefore, the orthopaedic surgeon should also consider the natural history and healing problems associated with AFF prior in order to choose the most appropriate management for APFF.

show abstract

Section: Discussionmentioning

confidence: 99%

Atypical periprosthetic femoral fractures of the hip: characterisation of three cases

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…No local pain after holding heavy objects, no tenderness in the fracture space, imaging showed that at least three sides of the humerus had continuous osteophytes, no internal fixation failure [ 12 – 14 ].…”

Section: Methodsmentioning

confidence: 99%

Do the successful revision surgery for humeral nonunion solve all the effects on health‐related quality of life? A retrospective cohort study

Wang

Sun

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background The aim of this study is to evaluate the effects of successful revision operation on health quality of life(QoL) and functional outcome in humeral nonunion patients. Methods This retrospective study included 62 patients with humeral nonunion from Northwest China, who were admitted to the Department of Trauma Surgery, Honghui Hospital between March 2013 and September 2019. The following data were retrospectively evaluated: demographic data, clinical data, imaging findings, and treatment methods. The QoL assessment indicators for humeral nonunion patients included the SF-12 mental component summary (MCS) and physical component summary (PCS),brief pain inventory-severity(BPI-S) and brief pain inventory-interference (BPI-I). The mayo elbow performance score (MEPS) was used to assess the elbow function of the patients. Results Successful revision surgery significantly improved the patient's PCS, MCS, BPI-S and BPI-I scores (p<0.001). According to the MEPS criteria, the excellent and good rates were 95.16% in this study. The impact of humeral nonunion on mental health was comparable with the reported impact of stroke and type II diabetes (p>0.05).The impact of post-op on physical health was comparable with the reported impact of COPD, silicosis, hypertension, barrentt’s esophagus and lower urinary tract symptoms(p>0.05). Conclusion Humeral nonunion is a devastating chronic medical condition that negatively affects both physical and mental health as well as quality of life. Although the effects of pain in the body can be completely relieved by treatment, the entire medical process may cause everlasting psychological trauma to the patient.

show abstract

Section: Fracture Healing Criteriamentioning

confidence: 99%

Do the Successful Revision Surgery for Humeral Nonunion Solve all the Effects on Health-Related Quality of life? A Retrospective Cohort Study

Wang

Sun

et al. 2021

Preprint

View full text Add to dashboard Cite

Background To evaluate the effects of successful revision operation on health quality of life(QoL) and functional outcome in humeral nonunion patients.Methods This retrospective study included 62 patients with humeral nonunion from Northwest China, who were admitted to the Department of Trauma Surgery, Honghui Hospital between March 2013 and September 2019. The following data were retrospectively evaluated: demographic data, clinical data, imaging findings, and treatment methods. The QoL assessment indicators for humeral nonunion patients included the SF-12 mental component summary(MCS) and physical component summary(PCS),brief pain inventory-severity(BPI-S) and brief pain inventory-interference (BPI-I). The mayo elbow performance score(MEPS) was used to assess the elbow function of the patients.Results Successful revision surgery significantly improved the patient's PCS,MCS,BPI-S and BPI-I scores (p<0.001). According to the MEPS criteria, the excellent and good rates were 95.16% in this study. The impact of humeral nonunion on mental health was comparable with the reported impact of stroke and type Ⅱ diabetes (p>0.05).The impact of post-op on physical health was comparable with the reported impact of COPD, silicosis, hypertension, barrentt’s esophagus and lower urinary tract symptoms(p>0.05).Conclusion Humeral nonunion is a devastating chronic medical condition that negatively affects both physical and mental health as well as quality of life. Although the effects of pain in the body can be completely relieved by treatment, the entire medical process may cause everlasting psychological trauma to the patient.

show abstract

Humeral shaft non-union in the elderly: Results with cortical graft plus stem cells

Cited by 16 publications

References 23 publications

Atypical periprosthetic femoral fractures of the hip: characterisation of three cases

Atypical periprosthetic femoral fractures of the hip: characterisation of three cases

Do the successful revision surgery for humeral nonunion solve all the effects on health‐related quality of life? A retrospective cohort study

Do the Successful Revision Surgery for Humeral Nonunion Solve all the Effects on Health-Related Quality of life? A Retrospective Cohort Study

Contact Info

Product

Resources

About