Management of Hypertrophic non-Union After Isolated Fibular Shaft Fracture With Percutaneous Screw Fixation: A Case Report
2024

Case Report on Hypertrophic Non-Union After Fibular Fracture

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Kotsias Christos, Konstantinidis Christos, Panagiotopoulos Vasileios, Vardakas Dimitrios, Giotis Dimitrios

Primary Institution: Orthopaedic Department, General Hospital of Ioannina 'G. Hatzikosta', Ioannina, GRC

Hypothesis

Can hypertrophic non-union after an isolated fibular fracture be effectively treated with percutaneous screw fixation?

Conclusion

Minimally invasive percutaneous osteosynthesis using a lag screw is a safe and effective treatment option for hypertrophic non-unions in oblique fractures.

Supporting Evidence

  • Hypertrophic non-union is an uncommon complication after isolated fibular fractures.
  • The patient returned to his daily routine without any symptoms at 12 weeks postoperatively.
  • Only a few studies report non-union as a complication after isolated fibular fractures.

Takeaway

This study shows that a special type of broken bone in the leg can be fixed with a small screw, helping the person walk normally again.

Methodology

The patient underwent percutaneous osteosynthesis with a 3.5 mm lag screw under fluoroscopy after conservative treatment failed.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

A 23-year-old male athlete.

Digital Object Identifier (DOI)

10.7759/cureus.74017

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