{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T23:56:05Z","timestamp":1768348565539,"version":"3.49.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Long-standing non-unions of the humeral shaft with established pseudoarthrosis are rare and pose substantial challenges in management. This case report describes the successful treatment of such a patient.\n\nCase Report: A 60-year-old male patient presented with a 40-year history of a humeral shaft fracture that had progressed to non-union with pseudoarthrosis. The patient underwent open reduction and internal fixation using a proximal humeral interlocking osteosynthesis system, augmented with an intramedullary fibular strut graft for added stability and an autogenous cancellous bone graft from the iliac crest to enhance healing. Post-operative radiological imaging confirmed successful bone healing, and the patient achieved a good range of motion in the affected arm.\n\nConclusion: This case demonstrates that long-standing humeral shaft non-unions can achieve successful clinical outcomes when managed with mechanical stabilization and biological augmentation.\n\nKeywords: Non-union, pseudoarthrosis, humerus, shaft fractures, bone graft.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i01.6650","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T16:42:16Z","timestamp":1768322536000},"page":"197-201","source":"Crossref","is-referenced-by-count":0,"title":["Successful Management of a 40-Year-Old Non-union of the Humeral Shaft with Pseudoarthrosis with Plate Fixation and Bone Grafting: A Case Report"],"prefix":"10.13107","volume":"16","author":[{"name":"Department of Orthopaedics Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Kumar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omprakash","family":"Meena","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasu","family":"Vasu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay","family":"Shukla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manjesh","family":"Reddy S V","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T16:42:16Z","timestamp":1768322536000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/01\/successful-management-of-a-40-year-old-non-union-of-the-humeral-shaft-with-pseudoarthrosis-with-plate-fixation-and-bone-grafting-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i01.6650","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}