Some outcomes of patients treated operatively for distal humerus fractures are affected by hand dominance

Shields, Charlotte N; Johnson, Joseph R.; Haglin, Jack M.; Konda, Sanjit R.; Egol, Kenneth A.

doi:10.1007/s00590-021-02915-3

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…Nwosu et al describe in their recent review 3-31% [14] hardware related complications. Hardware removal was recorded between 6.8% after volar locking plate xation of distal radius fractures in adults [14] up to 77% after arthrodesis for primary osteoarthritis of the trapezio-metacarpal joint [15][16][17][18]. Avoiding hardware removal and donor site morbidity while obtaining comparable results as with conventional methods would decrease economic burden and the higher risk for the patient.…”

Section: Introductionmentioning

confidence: 99%

Non-union Treatment in the arm, wrist, and fingers: A Multicenter Retrospective Study Contrasting Conventional Treatment with the Allogeneic Cortical Bone Screw (Shark Screw®)

Huber,

Jakob,

Palle

et al. 2024

Preprint

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Introduction: The cause of pseudarthrosis is the interaction of various biological and biomechanical factors with systemic and local interactions. Successful therapy consists of a combination of optimizing mechanical stability and activating biological factors. The conventional method for treating non-union is debridement and stabilization with metal hardware. But it leads to complications and a potential second operation for hardware removal. The human allogeneic cortical bone screw (Shark Screw®) provides a close contact between allograft and host bone, which is required for revascularisation and bone healing. The Shark Screw® merges human cortical bone properties with screw stability, addressing non-union surgery principles by integrating mechanical and biological aspects. Material and Methods: The retrospective-multi-center study included 31 patients, 11treated with the conventional method(metal hardware ± graft) and 20 patients with the Shark Screw® (±graft). Patient demographics, non-union location, autograft and/or allograft use, follow-up time, complications, union-rate, time-to-union and time-to-return to work were recorded. Results: Follow-up was 17 months in the conventional group and 12 months in the Shark Screw® group. The union rate was 72.7% in the conventional group and 95.0% in the Shark Screw® group. Time to union was significantly shorter in the Shark Screw® group with 12 weeks in comparison to 39 weeks in the conventional group. Conclusion The Shark Screw® presents a reliable option for treating non-unions in the shoulder, forearm, hand, and fingers. It demonstrates a low complication rate. The human allogeneic cortical bone screw (Shark Screw®) combines both stability and biology with a single transplant. The socioeconomic effect is another advantage using the Shark Screw®. Level of evidence: III

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