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.

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