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Revista Cubana de Ortopedia y Traumatología
On-line version ISSN 1561-3100
Abstract
VARGAS MORALES, Renán Estuardo and SULLCA FARGE, Miguel Usgardo. Humeral atrophic pseudoarthrosis treated by Masquelet technique with non-vascularized fibular autograft. Rev Cubana Ortop Traumatol [online]. 2022, vol.36, n.4 Epub Dec 01, 2022. ISSN 1561-3100.
Introduction:
Atrophic pseudarthrosis of the humeral diaphysis is a secondary bone defect and one of the most complex infrequent pathologies in Orthopedics, therefore, solving it is a challenge for specialists.
Objective:
To demonstrate that the Masquelet technique with non-vascularized fibular autograft is efficient in the repair of large bone defects, specifically in humeral atrophic pseudarthrosis.
Case report:
A 35-year-old patient with right humeral diaphysis fracture of the dominant limb is reported. She was operated on by open reduction and internal fixation; an atrophic pseudarthrosis of the humeral diaphysis was diagnosed and the Masquelet technique was applied with non-vascularized fibular autograft and bilateral iliac crest cancellous graft. Consolidation was achieved with good clinical and radiological results.
Conclusions:
The treatment of humeral atrophic pseudarthrosis using the Masquelet technique with non-vascularized fibular autograft and bilateral iliac crest cancellous graft is an efficient method due to its radiological clinical result, minimal morbidity and low economic cost.
Keywords : atrophic pseudoarthrosis; Masquelet technique; non-vascularized fibular autograft.