Surgical Management of Gout-Complicated Humeral Nonunion A Case Report
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Abstract
Humeral shaft fractures may progress to nonunion despite operative management. We report a 50-year-old male with repeated surgical failure of a left humeral shaft fracture, found intraoperatively to have uric acid crystal deposition within the pseudoarthrosis site. The patient underwent implant removal, excision of the pseudoarthrosis, and rigid plate fixation augmented with an intramedullary fibular strut graft. At six months postoperatively, clinical evaluation demonstrated mechanical stability and satisfactory functional recovery. Although fibular strut grafting is not universally considered standard treatment for humeral nonunion, this case highlights its potential role in complex, biologically compromised nonunions associated with gout.
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References
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