PMC7700995_01
X-Ray shows the non union of the proximal left humerus.
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X-Ray shows pseudarthrosis with destruction of the proximal growth plate (Fig. 1).
X-Ray after distraction with Ilizarov Fixator.
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The first step of the management was to treat both septic non-union and shortening with Ilizarov fixator(IF) without opening the pseudarthrosis site (Fig. 2): We decided to sacrifice the proximal growth plate.
X-Ray post operative after Vascular Fibular Graft.
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The segmental bony defect was bridged by 10 cm vascularized fibula graft (VFG) (Fig. 3).
X-Ray shows the result after 7 years of follow-up.
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At the last follow-up of 7 years the fibula hypertrophied and consolidated to the humerus and no signs of recurrent infection or fracture (Fig. 4).