Double plating for long-standing nonunion of the humeral shaft complicated with metaphyseal bone defect and deformity: A case report

Several treatment methods for nonunion of humeral fracture have been reported with satisfactory results. However, treatment of a long-standing nonunion of the humerus is more challenging, as it may be complicated by broken implants and bone defects. Little is known about treatment strategies for long-standing humeral nonunion with bone defects, especially in the metaphyseal area. We report a case of long-standing humeral shaft nonunion complicated by a bone defect and deformity, treated with double locking plates and an iliac bone autograft.