Abstract
Due to their high incidence and frequent need for reoperation, nonunions of the humerus present a significant challenge in orthopaedics. Using fibular struts to treat nonunions have demonstrated excellent results. While fibular autografts provide both biologic and structural benefit, high donor site morbidity must be considered. Although their application in midshaft humeral nonunions remains limited, fibular allografts avoid donor site morbidity. Enhancing fibular strut allografts with biological components offers a promising strategy for treating fractures that have failed prior revisions. This case study presents a 36-year-old woman with an aseptic oligotrophic midshaft humeral nonunion who had an unsuccessful revision surgery. Definitive treatment with a fibular strut allograft and a tibial autograft led to improvements in both clinical symptoms and radiographic healing. This case underscores the benefits of combining fibular strut allografts with tibial autografts for successful outcomes, emphasizing the need for further research in this area.
Recommended Citation
Wilson, Paul; Naomi Kelley; and Samer Kakish. "Fibula Strut Allograft with Proximal Tibia Autograft for Treatment of Humerus Nonunion: A Case Report and Review of Oligotrophic Nonunion Management." Western Journal of Orthopaedics 14, 1 (2025). https://digitalrepository.unm.edu/wjo/vol14/iss1/9