Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Infected non‐union fractures of the humeral shaft present a significant challenge in orthopaedic surgery, often resulting from open fractures, previous surgical interventions, or inadequate initial fracture management. This case series aims to evaluate various salvage procedures used in treating infected non‐union of the humeral shaft, providing insights into strategies that may improve patient outcomes. This retrospective case series analyzed five patients with infected non‐union of the humeral shaft treated at our institution. All patients underwent a staged treatment approach, including debridement, antibiotic therapy and definitive fixation with autologous bone grafting. Surgical techniques, clinical outcomes and post‐operative recovery were documented and evaluated. All five cases demonstrated successful infection control through debridement and targeted antibiotic therapy. Definitive treatment involved open reduction and internal fixation (ORIF) with autologous iliac crest and fibular strut grafting. Post‐operative radiographs showed satisfactory alignment and early signs of bone healing in all cases. However, patients experienced varying degrees of functional limitations, particularly in elbow range of motion. The management of infected non‐union fractures of the humeral shaft requires a multi disciplinary approach combining infection control and structural stabilization. Staged procedures involving debridement, spacer insertion and definitive fixation with autologous bone grafting offer a reliable strategy for achieving union. However, restoring full function remains challenging, emphasizing the need for continued research into surgical techniques and post‐operative rehabilitation strategies.
How to cite this article:
Arul Singh, Dhruv Agrawal, Naveen Kumar and Abhishek Gome. Salvage of Infected Non‐Union Fracture of Humeral Shaft: A Case Series.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.11.341.348
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.11.341.348