Humeral shaft fractures represent 3-5% 0f all fractures mostly heal by conservative methods ,frequently few fractures fail to unite , several fixation modalities have been used with types of bone graft .
To analyze the local and environmental factors of 44 patients having non union of diaphysial humeral fractures and the result of treatments by open reduction and fixation with plate and screws and autogenous bone graft application .
Retrospective and prospective study of forty four patients had non union of the daiphysis of the humerus, 34 males ,10 females, age ranged from 18-61, 29 had open injuries , 15 had closed injuries . All patients treated by rigid fixation with plate and screws and ample amount of autogenous bone graft. Follow up from 6-24 months .
40 patients had good results in clinical and radiological union of their humeri , in four patients the bone fail to unite ,graft resorbed with or without plate failure.
Sever injuries with soft tissue damage is a major cause of nonunion and rigid fixation by plate and screws with autogenous bone graft is a good optional method of treatment when other modalities are not available .