{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T03:42:57Z","timestamp":1778038977008,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2013,12,1]],"date-time":"2013-12-01T00:00:00Z","timestamp":1385856000000},"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":[[2013,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To compare various treatment modalities (plating, Ilizarov external fixation, and non-vascular fibular cortical strut grafting) for non-union of humeral shaft fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>Records of 9 women and 26 men aged 24 to 71 (mean, 42) years who presented with non-union of humeral shaft fractures were reviewed. The humeral shaft fractures were secondary to low-energy trauma (n=22) or vehicular accidents (n=13) and involved the proximal (n=9), middle (n=15), and distal (n=11) regions. 13 of the fractures were open. Infection was evident in 8 of the non-unions. For non-unions with infection (n=8), a 2-stage procedure entailing temporary Ilizarov fixation followed by plating was used. For non-unions without infection (n=23), one-stage plating and cancellous bone grafting was used. For non-unions of osteoporotic bone (n=4), one-stage non-vascularised fibular strut grafting was used. Outcome was measured using the Disabilities of the Arm, Shoulder and Hand (DASH) scoring system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>The 35 patients were followed up for a mean of 16 (range, 6\u201360) months. All achieved bone union except for one (who had persistent infection). Respectively for non-unions with infection, nonunions without infection, and non-unions of osteoporotic bone, the mean times to bone union were 6.5 (range, 4\u201310), 5 (range, 4\u20138), and 10 (range, 6\u201314) months, the mean improvement in DASH score was 30, 43, and 18, and malalignment was noted in 5, 2, and one patient. Three patients had a preoperative radial nerve palsy for which standard tendon transfer was performed 6 weeks after treatment for non-union.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>Compression plating achieved the best results. An external fixator may be used temporarily for infected non-unions. Fibular strut grafting may be used when non-unions warrant additional stability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/230949901302100313","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:13:55Z","timestamp":1475601235000},"page":"327-331","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Plating, Nailing, External Fixation, and Fibular Strut Grafting for Non-Union of Humeral Shaft Fractures"],"prefix":"10.1177","volume":"21","author":[{"given":"Kedar P","family":"Padhye","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Post Graduate Institute of Swasthiyog Pratishthan, Miraj, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vidhisha S","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Post Graduate Institute of Swasthiyog Pratishthan, Miraj, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"GS","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Post Graduate Institute of Swasthiyog Pratishthan, Miraj, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milind G","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Post Graduate Institute of Swasthiyog Pratishthan, Miraj, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunil","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Post Graduate Institute of Swasthiyog Pratishthan, Miraj, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruta","family":"Kulkarni","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Post Graduate Institute of Swasthiyog Pratishthan, Miraj, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayur D","family":"Patii","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Post Graduate Institute of Swasthiyog Pratishthan, Miraj, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priyanka Y","family":"Ravi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Post Graduate Institute of Swasthiyog Pratishthan, Miraj, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,12,1]]},"reference":[{"key":"bibr1-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(98)90016-7"},{"key":"bibr2-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200202000-00007"},{"key":"bibr3-230949901302100313","first-page":"194","volume":"25","author":"Borus TA","year":"2005","journal-title":"Iowa Orthop J"},{"key":"bibr4-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200501000-00007"},{"key":"bibr5-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(02)00381-9"},{"key":"bibr6-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000131484.27501.4b"},{"key":"bibr7-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(00)00231-X"},{"key":"bibr8-230949901302100313","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200301000-00007"},{"key":"bibr9-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)31514-5"},{"key":"bibr10-230949901302100313","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200004000-00003"},{"key":"bibr11-230949901302100313","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200208000-00004"},{"key":"bibr12-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199610000-00008"},{"key":"bibr13-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-002-0354-4"},{"key":"bibr14-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(98)90222-1"},{"key":"bibr15-230949901302100313","first-page":"45","volume":"29","author":"Crosby LA","year":"2000","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"bibr16-230949901302100313","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072050-00009"},{"key":"bibr17-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1080\/00016470310013734"},{"key":"bibr18-230949901302100313","first-page":"1","volume":"6","author":"Wright TW","year":"1997","journal-title":"J South Orthop Assoc"},{"key":"bibr19-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(94)90240-2"},{"key":"bibr20-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.82B6.10124"},{"key":"bibr21-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198901000-00020"},{"key":"bibr22-230949901302100313","first-page":"107","volume":"89","author":"Segonds JM","year":"2003","journal-title":"Rev Chir Orthop Reparatrice Appar Mot"},{"key":"bibr23-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1080\/000164702320155239"},{"key":"bibr24-230949901302100313","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199506000-00004"},{"key":"bibr25-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(82)90139-5"},{"key":"bibr26-230949901302100313","first-page":"120","volume":"30","author":"Kocaoglu M","year":"1996","journal-title":"Acta Orthop Traumatol Turc"},{"key":"bibr27-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198901000-00038"},{"key":"bibr28-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1007\/s007760100041"},{"key":"bibr29-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-008-0596-x"},{"key":"bibr30-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1177\/230949901101900316"},{"key":"bibr31-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199808000-00026"},{"key":"bibr32-230949901302100313","doi-asserted-by":"publisher","DOI":"10.1159\/000085743"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901302100313","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901302100313","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:19:33Z","timestamp":1777594773000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949901302100313"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,12]]}},"alternative-id":["10.1177\/230949901302100313"],"URL":"https:\/\/doi.org\/10.1177\/230949901302100313","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,12]]}}}