The use of 15 cm Non-Vascularized Fibular Graft Augmented by Platelet- Rich Plasma Injection for the Management of Aseptic Nonunion of Ulna Fracture: An 8-Year Follow-Up Case Report

Author(s): Eyas Mohammad Al Zuqaili, Fahad Al Serhan, Zaid Al Thunibat, Deya' Aldeen Al-Rashdan, Mutasem Al Dhoon

Background: Nonunion of long bone fractures, especially forearm fractures, presents a significant challenge. Aseptic nonunion in the ulna requires innovative strategies for effective management.

Case Presentation: A 38-year-old male patient with aseptic nonunion of the ulna underwent staged reconstructive surgery, including induced membrane technique, 15 cm non-vascularized fibular graft (NVFG), iliac crest graft, and platelet-rich plasma (PRP) injections. The patient experienced full bone healing and restored function.

Conclusion: The combination of IMT, NVFG, and PRP demonstrates promising results in managing long bone defects caused by aseptic nonunion, offering a viable alternative to more complex procedures.