Журнал травм и лечения

Early Outcomes of Humeral Non-Union Treatment with Intramedullary Strut Grafting and Long LCP Plating: Case Reports after Failed Ilizarov (Ring) Fixation

Abstract

Zoran Blagojević, Vladan Stevanović, Miodrag Glišić, Boris Vukomanović, Boris GlušÄević and Valentina Nikolić

Humeral diaphysis non-union is extremely difficult complication for the patients and orthopedic surgeons as well. Number of methods of managing atrophic humeral nonunion have been suggested, and each has its drawbacks. In current literature, there are no articles regarding treatment of humeral non-union after failed Ilizarov (ring) fixation surgery. This article presents early results of two cases of surgically treated fibular (intramedullar) strut graft and long LCP (PHILOS) plate. It is shown that fibular strut auto-graft bridging non-union site in conjunction with locked plating could be high potency healing material in osteoporotic atrophic humeral non-union. This technique need future and long term follow up analysis with potential use in different long bone non-union sites.