ArticleJournal of orthopaedic case reports2026
Successful Management of a 40-Year-Old Non-union of the Humeral Shaft with Pseudoarthrosis with Plate Fixation and Bone Grafting: A Case Report.
Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Long-standing non-unions of the humeral shaft with established pseudoarthrosis are rare and pose substantial challenges in management. This case report describes the successful treatment of such a patient. Case Report: A 60-year-old male patient presented with a 40-year history of a humeral shaft fracture that had progressed to non-union with pseudoarthrosis. The patient underwent open reduction and internal fixation using a proximal humeral interlocking osteosynthesis system, augmented with an intramedullary fibular strut graft for added stability and an autogenous cancellous bone graft from the iliac crest to enhance healing. Post-operative radiological imaging confirmed successful bone healing, and the patient achieved a good range of motion in the affected arm. Conclusion: This case demonstrates that long-standing humeral shaft non-unions can achieve successful clinical outcomes when managed with mechanical stabilization and biological augmentation.
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