Successful treatment of a multifocal comminuted open fracture of humerus with severe soft tissue defect: a case report

Abstract

Abstract Background Choosing the appropriate treatment approach for a multifocal comminuted open fracture of humerus with severe soft tissue defect is a challenging issue, which could be interesting for every orthopedic surgeon especially for those working in the trauma centers. Case presentation This study described an innovative approach using titanium elastic nailing to treat a multifocal comminuted open fracture of humerus with severe soft tissue defect. In this study, we report a 40-year-old Persian female patient in whom the treatment achieved complete fracture union and skin graft healing by elastic medullary nailing, vacuum dressing, and skin grafting. Conclusions Elastic medullary nailing is a viable option for reconstruction of simultaneous comminuted fracture and soft tissue defect.

Keywords

• Open fracture
• Humerus
• Soft tissue defect
• Skin graft
• Vacuum dressing
• Elastic intramedullary nail