GRAFTING AND FIXATION AFTER ASEPTIC NON-UNION OF THE HUMERAL SHAFT: A CASE SERIES

The use of an equine enzymatically deantigenated bone paste in association with allograft to manage aseptic non-unions of the humeral shaft

The purpose of our study was to evaluate the outcomes of an on-lay bone graft strut construction with bone chips as grafting augmentation in the management of aseptic non-unions of the humeral shaft.
From 124 eligible patients with a humeral shaft non-union, we included 48 patients. In all cases an anterolateral humeral approach was used, with an on-lay bone graft using an allograft strut construction and with bone substitute augmentation in the non-union gap.
In all 48 patients we achieved full bone healing without major complications. 
Given the satisfactory results of full bone healing, recovery of the range of motion and the lack of major complications as seen in this study, we find that plating with supporting allograft as a good choice of treatment in the cases of aseptic non-union of the humeral shaft.

PRODUCTS USED: Bio-gen Putty