Fisioterapia con compresión cíclica en la estrategia de reconstrucción funcional en la no-unión infectada de diáfisis de húmero en un paciente pediátrico: reporte de un caso

Abstract

BackgroundDiaphysis 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 ReportThe 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. DiscussionIn 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