Humerus Plate-Nail Construct for Salvage of Humeral Nonunion with Failed Free Fibula Flap: Technique and A Report of 2 Cases.

CASES: A 69-year-old woman and a 56-year-old woman with multiply revised humeral shaft-infected nonunions underwent free-vascularized fibular flaps with subsequent failure. Both patients were then successfully treated with a novel surgical technique involving nonunion repair using an interlocked retrograde fibular intramedullary nail and a distal humerus plate construct. This technique is described in detail.

CONCLUSION

Nonunion repair with an interlocked nail-plate construct is a viable treatment option for recalcitrant humeral shaft nonunion in the setting of a failed free-vascularized fibular flap.