Saab Mufleh Al Mestirihi¹*, Yousef Marzouq Khair¹, Ayman Mustafa Burghol², Sherif Mamdouh AMR³, Sana’a Haddadin⁴ and Silvana De Giorgi⁵

¹King Hussein Medical Center, Royal Medical Services, Amman, Jordan
²MD Orthopedic Surgeon, Upper Limb Department, Royal Medical Services, Amman, Jordan
³Professor, Orthopedic Consultant, Cairo University, Cairo, Egypt
⁴RN, Private Hospital, Amman, Jordan
⁵Professor, Department of Basic Medical Sciences, Neurosciences and Sensory Organs, University of Bari, Italy

*Corresponding Author: Saab Mufleh Al Mestirihi, Hand and Upper Limb Department, Royal Medical Services, Amman, Jordan.

Received: May 03, 2021; Published: May 20, 2021

Abstract

Distal humeral fractures are not very common. 3% of these fractures may need further surgical management [22]. Nonunion of fractures of the distal humerus is a challenging issue for orthopedic surgeons. Management could be either by using non vascularized or vascularized bone grafts, or by using a double barrel vascularized graft from the fibula. In our study we used a double barrel vascularized fibular graft for treatment this kind of nonunion. We used this procedure with different ways of fixation (either using external fixation, k wires with screws, plates) in different patients. Double barrel vascularized fibular grafting is a good option for treatment of fracture nonunion with a gap of 6 cm or more. It adds stability to the medial and lateral columns and enhances bone healing at the fracture site.

Keywords: Double Barrel; Vascularized Fibular Graft; Non Union Humerus Fracture

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Citation

Citation: Saab Mufleh Al Mestirihi., et al. “Using Free Double Barrel Vascularized Fibular Grafting in Complex Nonunion with Extensive Bone Loss in Distal Humeral Fractures".Acta Scientific Orthopaedics 4.6 (2021): 72-77.

Copyright

Copyright: © 2021 Lewis Bridges and Stephen Pack. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.