Treatment of un-united fractures of the shaft of the humerus

The results of operative treatment of 16 cases of un-united fractures of the humeral diaphsis are reported. The bone ends were excised, fractures were fixed by compression plates, bone grafts were used in all the cases. Fourteen cases showed evidence of union within 16 weeks, two cases within 20 weeks, and all recovered a useful range of motion at the shoulder and elbow

AO/plating of diaphyseal fractures in children

109 diaphysical fractures in 108 child, have been treated by open reduction and plate fixation using the ASIF/AO principles. There were 58 fracture femur, 31 forearm, and 20 leg bone fractures. Children were able to move early without external support, No infection was recorded. The child bone can tolerate compression without undergoing pressure necrosis. Stripping of the periosteum did not affect the blood supply and the healing process. The overall results were satisfactory in 97.2% of the cases. it is concluded that diaphyseal fractures in chilren as a rule can be treated closed, but open reduction and internal fixation was found to be of great benefit and should be done if the remaining deformities are liekely to result in significant functional loss