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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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | NMO Journal |
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| Online Access: | https://journals.lww.com/10.4103/JNMO.JNMO_5_25 |
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| author | Sudip Deb Amitosh Kumar Pandey |
| author_facet | Sudip Deb Amitosh Kumar Pandey |
| author_sort | Sudip Deb |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b9afff0f19a74628a54822e878ba2106 |
| institution | Kabale University |
| issn | 2348-3806 2950-5933 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | NMO Journal |
| spelling | doaj-art-b9afff0f19a74628a54822e878ba21062025-08-20T03:40:13ZengWolters Kluwer Medknow PublicationsNMO Journal2348-38062950-59332025-01-01191717310.4103/JNMO.JNMO_5_25Non-vascular Autologous Fibular Graft: Still a Viable Option for Management of Humeral Diaphyseal Infective Non-union?Sudip DebAmitosh Kumar PandeyNon-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.https://journals.lww.com/10.4103/JNMO.JNMO_5_25autologous bone graftcement beadhumeral shaftnon-union |
| spellingShingle | Sudip Deb Amitosh Kumar Pandey Non-vascular Autologous Fibular Graft: Still a Viable Option for Management of Humeral Diaphyseal Infective Non-union? NMO Journal autologous bone graft cement bead humeral shaft non-union |
| title | Non-vascular Autologous Fibular Graft: Still a Viable Option for Management of Humeral Diaphyseal Infective Non-union? |
| title_full | Non-vascular Autologous Fibular Graft: Still a Viable Option for Management of Humeral Diaphyseal Infective Non-union? |
| title_fullStr | Non-vascular Autologous Fibular Graft: Still a Viable Option for Management of Humeral Diaphyseal Infective Non-union? |
| title_full_unstemmed | Non-vascular Autologous Fibular Graft: Still a Viable Option for Management of Humeral Diaphyseal Infective Non-union? |
| title_short | Non-vascular Autologous Fibular Graft: Still a Viable Option for Management of Humeral Diaphyseal Infective Non-union? |
| title_sort | non vascular autologous fibular graft still a viable option for management of humeral diaphyseal infective non union |
| topic | autologous bone graft cement bead humeral shaft non-union |
| url | https://journals.lww.com/10.4103/JNMO.JNMO_5_25 |
| work_keys_str_mv | AT sudipdeb nonvascularautologousfibulargraftstillaviableoptionformanagementofhumeraldiaphysealinfectivenonunion AT amitoshkumarpandey nonvascularautologousfibulargraftstillaviableoptionformanagementofhumeraldiaphysealinfectivenonunion |