DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20180690

A case report of recalcitrant non union humerus treated with on lay fibular bone grafting and locking compression plate

Vivekananda Bheemisetty, Rentala Vamshi, S. Sreenivasa Reddy, Y. Thimma Reddy

Abstract


Nonunion of diaphyseal fractures of the humerus are frequently seen in clinical practice (incidence of up to 15% in certain studies) and osteosynthesis using dynamic compression plates, intra medullary nails and Ilizarov fixators have been reported previously. Locking compression plates (LCP) are useful in the presence of disuse osteoporosis, segmental bone loss and cortical defects that preclude strong fixation. Fixation using a compression plate and a non-vascularised fibular graft achieves good outcome for infected non-union of the humerus despite prior multiple failed surgeries. We report a failed case of fracture shaft humerus which was operated three times, first with DCP and next two times with DCP and autologous cancellous bone graft from iliac crest. The patient is now treated with LCP and on lay fibular bone grafting.


Keywords


Non union humerus, On lay fibular grafting, Locking compression plate

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References


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