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Case Reports
. 2017 Sep-Oct;7(5):80-83.
doi: 10.13107/jocr.2250-0685.906.

Resistant Non-union of Humerus After Intramedullary Nailing Treated with Locking Compression Plate with Bone Grafting With Nail in Situ and Shoulder Spica: A Case Report

Jagdeep Singh  1 , Anoop Kalia  1 , Kavin Khatri  1 , Anshul Dahuja  1
Affiliations
Case Reports

Resistant Non-union of Humerus After Intramedullary Nailing Treated with Locking Compression Plate with Bone Grafting With Nail in Situ and Shoulder Spica: A Case Report

Jagdeep Singh et al. J Orthop Case Rep. 2017 Sep-Oct.

Abstract

Introduction: Humerus non-union is a challenging situation for the surgeon and devastating and morbid situation for the patient. Surgical approach to the humerus is demanding because of the complex neurovascular anatomy and especially when previous surgeries have been attempted.

Case report: We report a case of a young adult male who sustained a compound fracture of humerus shaft treated with intramedullary nailing followed by subsequent bone grafting and eventually landed up in non-union and was treated at our center by locking compression plate application with nail in situ with iliac crest autogenous bone graft followed by shoulder spica application.

Conclusion: Although humerus nailing is a valid therapeutic option for humeral shaft fractures, compression plating is considered the gold standard and non-union secondary to failed interlocking nailing is a challenging situation.

Keywords: Non-union; compression plating; interlocking nailing.

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Conflict of interest statement

Conflict of Interest: Nil

Figures

Figure 1
Figure 1
Anteroposterior and lateral X-rays showing atrophic non-union at fracture site.
Figure 2
Figure 2
Anteroposterior view showing plate with nail in situ.
Figure 3
Figure 3
Lateral view showing plate with nail in situ.
Figure 4
Figure 4
Showing shoulder spica.
Figure 5
Figure 5
Showing solid union at fracture site after 6 months.
Figure 6
Figure 6
a and b showing excellent range of motion.
See this image and copyright information in PMC

References

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