ObjectiveWe evaluated the treatment of nonunion of humeral shaft fracture with dynamic
compression plate from January 2002 to December 2009.MethodsTwenty-two patients were treated over the study period. Trauma was the predominant
cause of injury in 86.4% of the patients.ResultsNonunion was atrophic in 81.8% and hypertrophic in 18.2% of the individuals. There was
a primary injury of the radial nerve in 27.3% of the patients. All the participants had
closed fracture at presentation, and 81.2% had received previous treatment from
traditional bone setters and 18.8% had failure of the conservative cast management. The
average time to healing was 16 weeks. Previous treatment from traditional bone setters
significantly affected the time to fracture healing (p<0.05). All fractures had
successful union.ConclusionIt was concluded that dynamic compression plating remains an effective treatment option
for nonunion of humeral shaft fracture. Level of Evidence III,
Retrospective study.
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