Functional outcome of management of infected nonunion of humerus by limb reconstruction system (LRS)
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1
Abstract
Introduction: The infected non-union of humerus resulting from surgical intervention to achieve bone healing are very difficult to manage by traditional methods. Materials & methods: We treated 20 infected non-union of diaphyseal fracture of humerus by LRS between 2009-15. All had prior surgical management, infected nonunion followed plating in 14 cases, 1 nailing case & 5 cases of external fixator. All patients had pain, atleast one sinus discharging pus and severe functional impairement of affected arm. There are 15 men and 5 women with a mean age of 39.7 years (range23-60yrs). Results: Bone healing achieved in 19 cases (95%). The eradication of infection was achieved in all cases. The mean time of union was 3.5 months (range 2-8 months). Good functional improvement was present. There were no major pin tract problems requiring removal of Schanz pins. 1 developed radial nerve palsy who recovered spotaneously. No patient required bone grafting and corticotomy procedure. Conclusion: The LRS alternative to the ring fixator in the treatment of infected non-union of humeral shaft, because of good patient compliance, decreased surgical learning curve, shortened duration of hospitalisation and immobilisation with good functional recovery.
Authors and Affiliations
Hiranya Kumar, Siddalingeshwar Vithoba Honnur, Manoj Kumar Shukla
Keywords
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- EP ID EP498012
- DOI 10.22271/ortho.2017.v3.i1a.08
- Views 98
- Downloads 0
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