Case In Images
 
Treatment with closed manipulation and functional bracing of a humeral diaphysis refracture with implant failure: A case report
Ali Ersen1, Atakan Guvendiren2, Ozgur Yazici2
1Istanbul University Medical Faculty, Department of Orthopedics and Traumatology, Istanbul.
2Mardin Kiziltepe State Hospital Department of Orthopedics and Traumatology, Mardin.

doi:10.5348/ijcri-2013-10-385-CII-14

Address correspondence to:
Dr. Ali Ersen
Istanbul University Medical Faculty
Department of Orthopedics and Traumatology
ISTANBUL
Turkey
Phone: +905357409795
Email: ali_ersen@hotmail.com

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How to cite this article:
Ersen A, Guvendiren A, Yazici O. Treatment with closed manipulation and functional bracing of a humeral diaphysis refracture with implant failure: A case report. International Journal of Case Reports and Images 2013;4(10):582–585.


Abstract
Introduction: Implant failures and loss of the reduction are the main complications of open reduction and internal fixation with plate and screws. If those complications occur, revision surgery is the standard treatment. We would like to present a case where implant failure and loss of reduction of humerus diaphyseal fracture is treated with close reduction and Sarmiento bracing.
Case Report: A 28-year-old male was diagnosed with closed humeral diaphysis fracture without neuromuscular injury due to traffic accident. He was treated with open reduction and internal fixation with plate and screws. After three months, he was presented to outpatient clinic with severe pain after minor trauma. Implant failure with screw breakage and loss of reduction with angulation were obvious on plane X-ray. Instead of revision surgery, it was treated with closed reduction and Sarmiento bracing.
Conclusion: Functional bracing can be appropriate for humeral diaphysis non-unions with implant failure when the patient is not suitable for surgery.

Keywords: Humerus diaphysis non-union, Bracing, close reduction

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Author Contributions
Ali Ersen – Substantial contributions to conception and design, Acquisition of data, Drafting the article revision it critically for important intellectuel content, Final approvel of the version to be published
Atakan Gunevdiren – Substantial contributions to conception and design, Acquisition of data, Drafting the article revision, Final approvel of the version to be published
Ozgur Yazici – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approvel of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© Ali Ersen et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)