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 Kovachev, Denis Dimitrov, Hristo Gigov, Vihar Kovachev,
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]
Correspondence 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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