Management of septic non union and discrepancy of humerus in a child: A case report

Mohseni Ahmed Amine; Boussetta Rim; Zairi Mohamed; Saied Walid; Ahmed Msakni; Sami Bouchoucha; Mohamed Nabil Nessib

doi:10.1016/j.ijscr.2020.10.099

Management of septic non union and discrepancy of humerus in a child: A case report

Int J Surg Case Rep. 2020:77:472-475. doi: 10.1016/j.ijscr.2020.10.099. Epub 2020 Nov 4.

Authors

Mohseni Ahmed Amine¹, Boussetta Rim², Zairi Mohamed³, Saied Walid⁴, Ahmed Msakni⁵, Sami Bouchoucha⁶, Mohamed Nabil Nessib⁷

Affiliations

¹ Children's Hospital Béchir Hamza, Tunis Tunisia Pediatric Orthopedic Surgery Department, Tunisia. Electronic address: [email protected].
² Children's Hospital Béchir Hamza, Tunis Tunisia Pediatric Orthopedic Surgery Department, Tunisia. Electronic address: [email protected].
³ Children's Hospital Béchir Hamza, Tunis Tunisia Pediatric Orthopedic Surgery Department, Tunisia. Electronic address: [email protected].
⁴ Children's Hospital Béchir Hamza, Tunis Tunisia Pediatric Orthopedic Surgery Department, Tunisia. Electronic address: [email protected].
⁵ Children's Hospital Béchir Hamza, Tunis Tunisia Pediatric Orthopedic Surgery Department, Tunisia. Electronic address: [email protected].
⁶ Children's Hospital Béchir Hamza, Tunis Tunisia Pediatric Orthopedic Surgery Department, Tunisia. Electronic address: [email protected].
⁷ Children's Hospital Béchir Hamza, Tunis Tunisia Pediatric Orthopedic Surgery Department, Tunisia. Electronic address: [email protected].

Abstract

Introduction: The management of large bone defect in the upper limb is fraught with difficulties and problems. It's is a long course treatment which include many components: infection, osseous loosening and shortening.

Case presentation: We present our experience of an 12-years-old boy with septic non union of the proximal left humerus with length discrepancy of 6 cm treated with Ilizarov fixator(IL) followed by vascularized fibula graft (VFG) with a good clinical result without complications.

Discussion: The bone loss may be treated with allografts, bone transfer and bone substitute. Consideration of the quality of bed tissue and the size of the bone defect are condition to ensure a good result.

Conclusion: Ilizarov fixator is an attractive and the most used technique for solving the problem of discrepancy and stabilizing in the upper limb.

Keywords: Case report; Humerus; Ilizarov fixator; Pediatric; Pseudarthrosis; Vascularized fibula graft.

Publication types

Case Reports