Beyond the Fracture: Managing Aseptic Ulnar Diaphyseal Non-Union in a Seizure Patient with Elastic Nail, Fibula Graft, and Locking Compression Plate: A Rare Case Report.

INTRODUCTION

Aseptic ulnar diaphyseal non-union presents a complex challenge in orthopedic practice, particularly when compounded by concurrent seizure disorders. This case report highlights the unique considerations and innovative approaches in managing such cases, emphasizing the importance of interdisciplinary collaboration and tailored treatment strategies.

CASE REPORT: We present the case of a 35-year-old male with a history of recurrent ulnar fractures and generalized tonic-clonic seizures. Through a multidisciplinary approach involving orthopedics, neurology, and rehabilitation services, we successfully managed aseptic ulnar diaphyseal non-union while addressing the patient's seizure disorder. Implant removal, fibula grafting, elastic nailing, and bridging fixation with a locking compression plate were employed, leading to favorable outcomes at the final follow-up.

CONCLUSION

The management of aseptic ulnar diaphyseal non-union in patients with concurrent seizure disorders requires a nuanced and multidisciplinary approach. This case underscores the importance of individualized treatment strategies, interdisciplinary collaboration, and innovative surgical techniques in achieving successful outcomes. Sharing our experience aims to contribute to the existing literature and inform clinical practice in addressing similar challenging scenarios.