[ORT-L] FW: Humerus non union - Orthopedics Forum


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[ORT-L] FW: Humerus non union

shitalparikh at hotmail
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Oct 10, 2007, 7:42 AM

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[ORT-L] FW: Humerus non union	Can't Post

67 yr old male sustained humeral shaft fracture in Nov,06. initially treated in a functional brace followed by IM nail about 6 months ago (xrays attached)patient complains of pain and feels the fracture site movement with IR and ER of shoulder.what would be the option for further treatment. i think the nail is not locked rigidly. would adding more interlocking screws give adequate stability? or should i consider ORIF...thanksShital Parikh, MDBuchanan OrthopaedicsGrundy, VA

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frg at myfastmail
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Oct 11, 2007, 8:42 AM

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Re: [ORT-L] FW: Humerus non union [In reply to]	Can't Post

Shital Parikh, MDBuchanan OrthopaedicsGrundy, VA

Evidently your patient have a atrophic pseudoartrosis dof humerus. The
longuitudinal line of fracture id typicaly of oblique long humerus shaft
fracture.
The better initial treatment probably was several interfragmentary
screws.
but now you have a biological facttor deficit and ostheopenic humerus.
Today a good and simple option is Phemister Chatro bone grafts, Dunn
subpriostical decortication, and 2 or 3 orthopaedics cables
Other References

* Document by Richards entitled: Orthopaedic Cable Tensioner and
Titanium Cable, 5 pages, Dec., 1988 (Author Unknown).
* Brochure -Codman -Sof'wire Cable System -6 pages, Jun., 1992
(Author Unknown).
* Document entitled: Pilling-Wolvek Sternal Approximator and
Fixation System, 1 page (Date and Author Unknown).
* Document by Acumed, Inc., entitled: Osteo-Clage, Cerclage Cable
System, 4 pages, Jul., 1992 (Author Unknown).
* Document by Howmedica (UK) Limited, entitled: The Trochanter Cable
Grip System, 6 pages, Jan., 1983 by Desmond M. Dall et al.
* Document by Howmedica entitled: The Dall-Miles Trochanter Cable
Grip System, 13 pages, May, 1986 (Author Unknown).
* Document by Howmedica entitled: Dall-Miles Cable Grip System, 2
pages, Jun., 1993, (Author Unknown).

----- Original message -----
From: "shital parikh" <shitalparikh@hotmail.com>
To: ort-l@www2.aaos.org
Date: Wed, 10 Oct 2007 14:42:58 +0000
Subject: [ORT-L] FW: Humerus non union

67 yr old male sustained humeral shaft fracture in Nov,06. initially
treated in a functional brace followed by IM nail about 6 months ago
(xrays attached)patient complains of pain and feels the fracture site
movement with IR and ER of shoulder.what would be the option for further
treatment. i think the nail is not locked rigidly. would adding more
interlocking screws give adequate stability? or should i consider
ORIF...thanksShital Parikh, MDBuchanan OrthopaedicsGrundy, VA

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Get the new Windows Live Messenger! Try it!

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they haven’t even been officially released yet.
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