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Successful Fixation of a Tuberculous Nonunion of the Humeral Shaft

A Case Report

Patel, Ronak M., MD1; Miller, Anna N., MD1

doi: 10.2106/JBJS.CC.18.00208
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Case: A 48-year-old man from North Africa with a history of infection after fixation of a humeral fracture presented 8 years later with an infected nonunion. After operative debridement, Mycobacterium tuberculosis grew on culture. Following a 2-stage surgical procedure and medical management of the tuberculosis (TB), successful union had been achieved at the 1-year follow-up.

Conclusion: Nonunion of the humerus caused by TB is a rare entity, but careful attention to patient demographics can forewarn the care provider. Irrigation and debridement with the Masquelet technique followed by compression plating and an iliac crest autograft can provide positive results.

1Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri

E-mail address for A.N. Miller: milleran@wustl.edu

Investigation performed at the Washington University School of Medicine, St. Louis, Missouri

Disclosure: The authors indicated that no external funding was received for any aspect of this work. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A776).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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