PMC7276566_01
Post-operative and 6 months follow-up radiography of initial treatment.
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F1
After 6 months of clinical and radiological follow-up, there were no signs of healing and persistent pain at fracture site (Fig. 1).
Oligotrophic nonunion and nail breakage after 11 years.
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F2
With plain radiographs, a nail breakage was assessed (Fig. 2).
Illustrations demonstrating nonunion and plate fixation with autograft.
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F3
The iliac crest graft was trimmed to enable it to snugly telescope into the fracture fragments (the harvested bone graft was then packed into the defect) and then, a 4.5mm limited contact dynamic compression plate was placed on the anterior face of the humerus (Fig. 3).
Illustrations showing 1 month and 6 months follow-up X-rays.
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F4
Visits were scheduled until bone graft union was radiologically confirmed at final follow-up (Fig. 4).
Clinical follow-up at 6 months.
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F5
At this point, good clinical function was achieved with SSV of 80%, VAS 0, and CS of 76 (Fig. 5).