Non-vascular Autologous Fibular Graft: Still a Viable Option for Management of Humeral Diaphyseal Infective Non-union?
Non-union after humeral shaft fractures are seen frequently in clinical practice, about 2%–10% with conservative management and up to 30% with surgically treated patients. Here, we present a case of a 42-year-old female with septic atrophic non-union of fracture shaft of the humerus with chronic dis...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | NMO Journal |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/JNMO.JNMO_5_25 |
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| Summary: | Non-union after humeral shaft fractures are seen frequently in clinical practice, about 2%–10% with conservative management and up to 30% with surgically treated patients. Here, we present a case of a 42-year-old female with septic atrophic non-union of fracture shaft of the humerus with chronic discharging sinus with full restriction of all range of motion of elbow. This case was managed with two-staged procedures. In 1st stage, removal of all infective foci + external fixation + antibiotic cement bead placement. In 2nd stage, it was managed by the removal of cement bead and external fixation and placement of autologous non-vascularised ipsilateral fibular graft and plating with cancellous bone graft support. The patient achieved significant functional recovery at 1-year follow-up. |
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| ISSN: | 2348-3806 2950-5933 |