{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:44:04Z","timestamp":1777880644120,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2011,12,1]],"date-time":"2011-12-01T00:00:00Z","timestamp":1322697600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2011,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To review outcomes of 7 patients who underwent revision surgery for infected non-union of the humerus using a fibular graft as an intramedullary strut.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Records of 7 men aged 29 to 59 (mean, 40) years with humeral diaphyseal infected nonunion who underwent fixation using a compression plate and a non-vascularised fibular graft as an intramedullary strut were reviewed. The mean number of previous surgeries was 2.7 (range, 2\u20134). Three of the patients had active draining sinuses previously. Their C-reactive protein levels were normal and tissue cultures negative. The remaining 4 patients had active draining sinuses. They first underwent implant removal and debridement. Tissue cultures confirmed infection in 3 of them. The mean duration between debridement and the index surgery was 5 (range, 3\u201310) months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>The mean length of the fibulae harvested was 13 (range, 12\u201315) cm. All 7 non-unions healed. The mean time to healing was 5.4 (range, 4\u20138) months. The mean follow-up period was 15 (range, 13\u201324) months. All patients had weakness of the extensor hallucis longus, which improved to near normal at month 3. There was no donor-site morbidity. Three patients with active infection at presentation underwent repeat surgery. Two of them had wound washouts, and their non-unions went on to heal successfully; one underwent implant removal after union due to an active sinus. Six of the patients returned to their pre-injury activity level, and one endured a brachial plexus injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>Fixation using a compression plate and a non-vascularised fibular graft as an intramedullary strut achieved good outcome for infected non-union of the humerus despite prior multiple failed surgeries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/230949901101900316","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:16:28Z","timestamp":1475601388000},"page":"341-345","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Non-Vascularised Fibular Graft as an Intramedullary Strut for Infected Non-Union of the Humerus"],"prefix":"10.1177","volume":"19","author":[{"given":"G","family":"Gopisankar","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Christian Medical College, Vellore, Tamilnadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arockiaraj SV","family":"Justin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Christian Medical College, Vellore, Tamilnadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manasseh","family":"Nithyananth","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Christian Medical College, Vellore, Tamilnadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinoo M","family":"Cherian","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Christian Medical College, Vellore, Tamilnadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"VN","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Christian Medical College, Vellore, Tamilnadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,12,1]]},"reference":[{"key":"bibr1-230949901101900316","first-page":"843","volume-title":"Rockwood and Green's fractures in adults","volume":"1","author":"Epps CH","year":"1991","edition":"3"},{"key":"bibr2-230949901101900316","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072050-00009"},{"key":"bibr3-230949901101900316","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-009-1382-3"},{"key":"bibr4-230949901101900316","first-page":"79","volume":"4","author":"Daniel AJ","year":"1996","journal-title":"J Orthop Surg (Hong Kong)"},{"key":"bibr5-230949901101900316","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-008-0596-x"},{"key":"bibr6-230949901101900316","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31819b0bdc"},{"key":"bibr7-230949901101900316","doi-asserted-by":"publisher","DOI":"10.1177\/230949900801600304"},{"key":"bibr8-230949901101900316","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318032c4d8"},{"key":"bibr9-230949901101900316","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197505000-00019"},{"key":"bibr10-230949901101900316","doi-asserted-by":"publisher","DOI":"10.1177\/230949900901700201"},{"key":"bibr11-230949901101900316","volume-title":"Paper presented at American Academy of Orthopaedic Surgeons Annual Meeting","author":"Bouliane M","year":"2011"},{"key":"bibr12-230949901101900316","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199610000-00014"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901101900316","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901101900316","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:17:43Z","timestamp":1777594663000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949901101900316"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,12]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,12]]}},"alternative-id":["10.1177\/230949901101900316"],"URL":"https:\/\/doi.org\/10.1177\/230949901101900316","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,12]]}}}