Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 4 Issue 6

Using Free Double Barrel Vascularized Fibular Grafting in Complex Nonunion with Extensive Bone Loss in Distal Humeral Fractures

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

References

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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.




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