Treatment with closed manipulation and functional bracing of a humeral diaphysis refracture with implant failure: A case report

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.