Non-vascular Autologous Fibular Graft: Still a Viable Option for Management of Humeral Diaphyseal Infective Non-union?

Non-union after humeral shaft fractures are seen frequently in clinical practice, about 2%–10% with conservative management and up to 30% with surgically treated patients. Here, we present a case of a 42-year-old female with septic atrophic non-union of fracture shaft of the humerus with chronic discharging sinus with full restriction of all range of motion of elbow. This case was managed with two-staged procedures. In 1 st stage, removal of all infective foci + external fixation + antibiotic cement bead placement. In 2 nd stage, it was managed by the removal of cement bead and external fixation and placement of autologous non-vascularised ipsilateral fibular graft and plating with cancellous bone graft support. The patient achieved significant functional recovery at 1-year follow-up.