J Korean Fract Soc.  2010 Jan;23(1):118-121. 10.12671/jkfs.2010.23.1.118.

Nonunion of Humeral Intercondylar Comminuted Fracture Treated with Fibular Graft: A Case Report

• Oh JR
• Lee CH
• Kwon KY
• Chung HJ

• KMID: 1461583
• DOI: http://doi.org/10.12671/jkfs.2010.23.1.118

Abstract

Nonunion of comminuted distal humeral fracture is troublesome problem to orthopedic surgeon. We report a case of 59 years old woman, who suffered nonunion of comminuted distal humeral fracture previously treated by open reduction and internal fixation with plate and screws concomitantly autoiliac bone graft. We reconstructed humeral condyle with fibular inlay graft inside cortical shell of intercondylar bone fragment and obtained excellent result in radiological and functional outcome.

Keyword

Humerus; Intercondylar fracture; Fibular graft; Non-union

MeSH Terms

Female
Fractures, Comminuted
Humans
Humeral Fractures
Humerus
Inlays
Orthopedics
Transplants

Figure

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  Fig. 1 (A) Anterior-posterior and lateral view showed fracture with severe comminution on intercondylar and supracondylar area. (B) The patient was treated by open reduction and internal fixation with plates and screws concomitantly autologous iliac bone graft.

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  Fig. 2 Two years later, radiographs show the bone resorption of grafted bone and newly developed fracture near proximal portion of the plate.

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  Fig. 3 Anteriorposterior and translateral radiographs of the right elbow after re-operation.

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  Fig. 4 Excellent pain-free (A) flexion and (B) extension (C) supination (D) pronation resulted.

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  Fig. 5 Anteroposterior & translateral radiographs of the right elbow 10 months after the operation.

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  Fig. 6 Schematic view shows reconstructed condyle of distal humerus with three divided fibular graft.

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