Physiotherapy With Cyclic Compression In The Strategy Of Functional Reconstruction In The Infected Non-Union Of Diaphysis Of Humerus In A Child: Report Of A Case
DOI:
https://doi.org/10.1016/j.rccot.2020.02.009Keywords:
non-union, fracture, diaphysis humerus, pedicle flap, physiotherapy, compression, fracture focus, bone lossAbstract
Background: Diaphysis humerus fractures constitute 5% of all fractures in the human body. The infection associated with the non-union of humerus in children is an extremely rare and incapacitating condition, which, if not treated properly, can definitively compromise the function of the whole limb.
Case Report: The case is presented of a 9 year-old male patient who visited this hospital with a left humerus infected non-union, associated with loss of bone, muscular and cutaneous substance, with radial nerve injury, and a lack of limb functionality. A 5-stage reconstruction strategy is presented, and the use of cyclic compression therapies is as a key factor for fracture consolidation.
Discussion: In this complex and uncommon case, all the proposed objectives in the treatment of an infected non-union: the eradication of the infection with adequate bone consolidation, functional recovery, and aesthetics were fulfilled within a period of 10 months.
Evidence Level: IV
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