Use of Intramedullary Fibular Graft: A Novel Adjunct in Treatment of Osteoporotic Humeral Shaft Fracture Non - Union

The incidence of humeral shaft fractures that undergo non - union after Open reduction and internal fixation accounts for 15 - 30%. Common risk factors for a non - union to develop includes smoking, alcohol consumption, DM, old age, unstable primary osteosynthesis, open fractures, infections and neurovascular injuries. We studied a case of 68 years old lady case of Right humerus shaft fracture atrophic non - union with implant failure who was operated with ORIF with plating 5 years back. Patient presented with complaints of pain and deformity over right arm with difficulty in performing activities of daily living. Patient was posted for implant removal followed by reconstruction with fibular strut and iliac crest bone graft which was stabilized and internally fixed with plating. The patient was followed up for 1 year and showed significant improvement in functional outcomes clinically with satisfactory incorporation of fibular graft and satisfactory alignment of the implant radiologically.