head JofIMAB
Journal of IMAB
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2024, vol. 30, issue3
Subject Area: Medicine
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DOI: 10.5272/jimab.2024303.5692
Published online: 23 August 2024

Case report
J of IMAB. 2024 Jul-Sep;30(3):5692-5695
INTRAMEDULLARY NON-VASCULARIZED AUTOFIBULA IN INFECTED NONADHESIONS OF THE HUMERUS
Mancho KovachevORCID logoCorresponding Autoremail, Denis DimitrovORCID logo, Hristo GigovORCID logo, Vihar KovachevORCID logo,
Department of Orthopaedics and Traumatology, Faculty of Medicine, Medical University of Pleven, Bulgaria; Clinic of Orthopaedics and Traumatology of G. Stranski University Hospital – Pleven, Bulgaria.

ABSTRACT:
This communication aims to present a modified technique in applying an intramedullary non-vascularized auto fibula and plate fixation in a patient with atonic diaphyseal non-union and pseudo-arthrosis with failed osteosynthesis due to infection.
Case description: A patient with failed metal osteosynthesis due to infection is presented. After infection remediation and radical resection, a 7 cm non-vascularized autofibula (NAF) was inserted and reinforced with a locking compression plate (LCP-plate) and bone substitutes.
Result: Clinical and radiological bone healing of the pseudoarthrosis was achieved after 4 1/2 months, with a good functional and cosmetic outcome.
Conclusion: Using NAF in selected patients at fitting recipient beds is an easy operative technique and is still applicable in reconstructing bone defects.

Keywords: atonic non-union, intramedullary autofibula, non-vascularized autofibula, intramedullary nailing, external fixator, vascularized autofibula,

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Please cite this article as: Kovachev M, Dimitrov D, Gigov H, Kovachev V. Intramedullary non-vascularized autofibula in infected nonadhesions of the humerus. J of IMAB. 2024 Jul-Sep;30(3):5692-5695. [Crossref - 10.5272/jimab.2024303.5692]

Corresponding AutorCorrespondence to: Mancho Kovachev, Department of Orthopaedics and Traumatology, Faculty of Medicine, Medical University of Pleven, Clinic of Orthopaedics and Traumatology of G. Stranski University Hospital – Pleven; 89, Rousse Blvd., Pleven, Bulgaria; E-mail: mani.rivera@abv.bg

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Received: 15 May 2024
Published online: 23 August 2024

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