{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T00:25:27Z","timestamp":1725668727773},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:p>Introduction: The humeral shaft gap non-union treatment surgically after unsuccessful fixation is difficult. In this study, the functional outcome of unsuccessful fixation of humeral shaft gap non-unions using a locking compression plate (LCP), fibular strut graft, and iliac bone graft was evaluated.  Case Report: we studied 10 patients with humeral shaft gap non-unions with unsuccessful surgical fixation treated with open reduction and internal fixation using LCP with fibular strut graft and iliac cancellous bone graft. The study duration was from January 2022\u2013January 2024. The mean time from non-union was 7 months. Disabilities of the arm, shoulder, and hand (DASH) scores improved significantly from a pre-operative average of 59.2 \u00b1 7.3 to a mean final score of 24.6 \u00b1 4.8 reflecting a mean improvement of 34.6 with no complications.  Conclusion: This study shows that LCP with fibular strut graft and iliac bone grafts is a good alternative for diaphyseal humerus gap non-union along with statistically significant improvement in functional outcome, with union seen in all cases. This construct augments biomechanical stability and good biological healing in these gap non-unions.  Keywords: Humeral fracture, non-union, locking compression plating, humerus, fibular strut graft.<\/jats:p>","DOI":"10.13107\/jocr.2024.v14.i09.4774","type":"journal-article","created":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T10:36:02Z","timestamp":1725618962000},"page":"183-188","source":"Crossref","is-referenced-by-count":0,"title":["Functional Outcomes of Gap Non-Union Humerus Fractures Treated with Fibular Strut Graft, Iliac Crest Graft, and Locking Compression Plate"],"prefix":"10.13107","volume":"14","author":[{"name":"Department of Orthopaedics, D.Y. Patil Hospital, Navi Mumbai, Maharashtra, and, Consultant orthopaedic surgeon, Apollo Hospital, Belapur, Navi Mumbai, India,","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sachin","family":"Kale","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvind","family":"Vatkar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Fortis Hiranandani Hospital, Navi Mumbai, Maharashtra, and Consultant orthopaedic surgeon, Apollo Hospital,Belapur, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhilash","family":"Srivastava","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, D.Y. Patil Hospital, Navi Mumbai, Maharashtra, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohan Raj","family":"Baruah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, D.Y. Patil Hospital, Navi Mumbai, Maharashtra, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayeshmit","family":"Patnaik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, D.Y. Patil Hospital, Navi Mumbai, Maharashtra, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Varmit","family":"Shah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, D.Y. Patil Hospital, Navi Mumbai, Maharashtra, and, Consultant orthopaedic surgeon, Apollo Hospital, Belapur, Navi Mumbai, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2024]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T10:36:11Z","timestamp":1725618971000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2024\/09\/01\/functional-outcomes-of-gap-non-union-humerus-fractures-treated-with-fibular-strut-graft-iliac-crest-graft-and-locking-compression-plate\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":0,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2024]]},"published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2024.v14.i09.4774","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]}}}