Staged Surgery with Autologous Fibula Grafting for Humeral Non- union - A Case Report
Recalcitrant humeral non-unions after multiple fixation attempts pose a challenge to the surgeon when it comes to selecting effective and reliable management strategies. Confounding factors such as infection and bone segment loss may hamper achieving osteosynthesis even with suitable fixation. This...
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| Format: | Article |
| Language: | English |
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Surgical Society of Kenya
2025-01-01
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| Series: | The Annals of African Surgery |
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| Online Access: | https://www.annalsofafricansurgery.com/staged-surgery-and-fibula-graft-for-humeral-non-union |
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| author | Stephen Kamau Mwaura Mordicai Atinga |
| author_facet | Stephen Kamau Mwaura Mordicai Atinga |
| author_sort | Stephen Kamau Mwaura |
| collection | DOAJ |
| description | Recalcitrant humeral non-unions after multiple fixation attempts pose a challenge to the surgeon when it comes to selecting effective and reliable management strategies. Confounding factors such as infection and bone segment loss may hamper achieving osteosynthesis even with suitable fixation. This is a case report of a 35- year-old man with a 4-year complex history of recalcitrant humerus non-union. It highlights a combination of various accessible strategies that encompass biological stimulation and mechanical stabilization toward timely bone union with minimal morbidity and return to optimal function. The use of a free fibular intramedullary strut autograft with a locking compression plate (LCP) has been infrequently described in the literature and this report adds to the data bank of this treatment strategy. |
| format | Article |
| id | doaj-art-e2faf0876fb8451580a4441703b582c4 |
| institution | Kabale University |
| issn | 1999-9674 2523-0816 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Surgical Society of Kenya |
| record_format | Article |
| series | The Annals of African Surgery |
| spelling | doaj-art-e2faf0876fb8451580a4441703b582c42025-01-28T15:41:20ZengSurgical Society of KenyaThe Annals of African Surgery1999-96742523-08162025-01-012212733http://dx.doi.org/10.4314/aas.v22i1.5Staged Surgery with Autologous Fibula Grafting for Humeral Non- union - A Case ReportStephen Kamau Mwaura0https://orcid.org/0009-0004-1013-2426Mordicai Atinga1https://orcid.org/0000-0003-2640-4815Thematic Unit of Orthopaedics, University of Nairobi, Nairobi, KenyaDepartment of Orthopaedics, Aga Khan University Hospital, Nairobi, KenyaRecalcitrant humeral non-unions after multiple fixation attempts pose a challenge to the surgeon when it comes to selecting effective and reliable management strategies. Confounding factors such as infection and bone segment loss may hamper achieving osteosynthesis even with suitable fixation. This is a case report of a 35- year-old man with a 4-year complex history of recalcitrant humerus non-union. It highlights a combination of various accessible strategies that encompass biological stimulation and mechanical stabilization toward timely bone union with minimal morbidity and return to optimal function. The use of a free fibular intramedullary strut autograft with a locking compression plate (LCP) has been infrequently described in the literature and this report adds to the data bank of this treatment strategy.https://www.annalsofafricansurgery.com/staged-surgery-and-fibula-graft-for-humeral-non-unionhumeral non-unionfibula grafting |
| spellingShingle | Stephen Kamau Mwaura Mordicai Atinga Staged Surgery with Autologous Fibula Grafting for Humeral Non- union - A Case Report The Annals of African Surgery humeral non-union fibula grafting |
| title | Staged Surgery with Autologous Fibula Grafting for Humeral Non- union - A Case Report |
| title_full | Staged Surgery with Autologous Fibula Grafting for Humeral Non- union - A Case Report |
| title_fullStr | Staged Surgery with Autologous Fibula Grafting for Humeral Non- union - A Case Report |
| title_full_unstemmed | Staged Surgery with Autologous Fibula Grafting for Humeral Non- union - A Case Report |
| title_short | Staged Surgery with Autologous Fibula Grafting for Humeral Non- union - A Case Report |
| title_sort | staged surgery with autologous fibula grafting for humeral non union a case report |
| topic | humeral non-union fibula grafting |
| url | https://www.annalsofafricansurgery.com/staged-surgery-and-fibula-graft-for-humeral-non-union |
| work_keys_str_mv | AT stephenkamaumwaura stagedsurgerywithautologousfibulagraftingforhumeralnonunionacasereport AT mordicaiatinga stagedsurgerywithautologousfibulagraftingforhumeralnonunionacasereport |