Figure 1.

A 41-year-old woman, 19 years before the fall from the horse, in which she suffered the fracture of the left clavicle, treated with Open reduction and K wire. Wire removal after three months; then abandoned (asymptomatic). After 19 years (A), onset of paresthesia on left upper limb. B, C report the blooding of the aseptic nonunion outbreak. D, E report the synthesis with the upper plate and the lower fibular allograft without iliac crest autogenous bone grafting. F and G (taken from above) highlight the from the iliac crest autogenous grafting. The X-rays (H, I) at 6 months after surgery showed integration of the fibula and bone consolidation. The X-rays (L, M) at 1 year from the removal of the means of synthesis, 18 months after surgery, show the perfect integration of bone grafts.