SCLECARTO Revista N6 2024 - Flipbook - Página 25
Pseudoartrosis humeral recalcitrante. Todo un abanico terapéutico
No hay consenso sobre el tipo de 昀椀jación que debe
utilizarse en el tratamiento de la pseudoartrosis humeral
dia昀椀saria(2, 5), si bien es cierto que la 昀椀jación interna rígida
con placa ha demostrado altas tasas de consolidación con
complicaciones relativamente bajas(2, 8).
CONFLICTOS DE INTERÉS
Los autores declaran que no presentan con昀氀icto de
interés.
BIBLIOGRAFIA
1. Babhulkar S, Babhulkar S, Vasudev A. Recalcitrant aseptic atrophic
non-union of the shaft of the humerus after failure of surgical
treatment: management by excision of non-union, bone grafting
and stabilization by LCP in di昀昀erent modes. Injury. 2017 Aug;48
Suppl 2:S33-S43. doi: 10.1016/S0020-1383(17)30492-8. PMID:
28802419.
2. Peters RM, Claessen FM, Doornberg JN, Kolovich GP, Diercks
RL, van den Bekerom MP. Union rate after operative treatment
of humeral shaft nonunion--A systematic review. Injury. 2015
Dec;46(12):2314-24. doi: 10.1016/j.injury.2015.09.041. Epub 2015
Oct 21. PMID: 26499226.
3. Padilla-Eguiluz NG, Gómez-Barrena E. Epidemiology of long
bone non-unions in Spain. Injury. 2021 Jul;52 Suppl 4:S3-S7. doi:
10.1016/j.injury.2021.02.053. Epub 2021 Feb 18. PMID: 33640162.
4. Ekegren CL, Edwards ER, de Steiger R, Gabbe BJ. Incidence, Costs
and Predictors of Non-Union, Delayed Union and Mal-Union
Following Long Bone Fracture. Int J Environ Res Public Health.
2018 Dec 13;15(12):2845. doi: 10.3390/ijerph15122845. PMID:
30551632; PMCID: PMC6313538.
5. Massin V, Laumonerie P, Bonnevialle N, Le Baron M, Ollivier M,
Flecher X, Argenson JN, Lami D. What treatment for humeral
shaft non-union? Case-series assessment of a strategy. Orthop
Traumatol Surg Res. 2023 Sep;109(5):103532. doi: 10.1016/j.
otsr.2022.103532. Epub 2022 Dec 23. PMID: 36572380.
6. Chantelot C, Ferry S, Lahoude-Chantelot S, Prodomme G,
Guinand R, Fontaine C. Étude rétrospective des résultats du
traitement chirurgical de 21 pseudarthroses de l’humérus. Chir
Main [Internet]. 2005;24(2):84–91. Disponible en: http://dx.doi.
org/10.1016/j.main.2005.01.003
7. Miska M, Findeisen S, Tanner M, Biglari B, Studier-Fischer S,
Grützner PA, et al. Treatment of nonunions in fractures of the
humeral shaft according to the Diamond Concept. Bone Joint
J [Internet]. 2016;98-B(1):81–7. Disponible en: http://dx.doi.
org/10.1302/0301-620X.98B1.35682
8. Rollo G, Prkic A, Bisaccia M, Eygendaal D, Pichierri P, Marsilio
A, et al. Grafting and 昀椀xation after aseptic non-union of the
humeral shaft: A case series. J Clin Orthop Trauma [Internet].
2020;11(Suppl
1):S51–5.
Disponible
en:
http://dx.doi.
org/10.1016/j.jcot.2019.08.020
9. Campochiaro G, Baudi P, Gialdini M, Corradini A, Duca V, Rebuzzi
M, et al. Humeral shaft non-union after intramedullary nailing.
Musculoskelet Surg [Internet]. 2017;101(2):189–93. Disponible en:
http://dx.doi.org/10.1007/s12306-017-0468-x
10. Petrella G, Tosi D, Pantaleoni F, Adani R. Vascularized bone grafts
for post-traumatic defects in the upper extremity. Arch Plast
Surg [Internet]. 2021;48(1):84–90. Disponible en: http://dx.doi.
org/10.5999/aps.2020.00969
Revista Sclecarto- N.º 6 - Año 2024 - 25
