Utilizing a Sarmiento Brace to Attain Union of a Humeral Shaft Fracture Nonunion With Hardware Failure

Humeral shaft fractures are prevalent, with the majority receiving nonoperative treatment using a functional brace. However, some patients necessitate surgical intervention either as an initial approach or in cases where nonunion arises despite conservative management. This case report presents a patient who initially sustained a closed humeral shaft fracture managed nonoperatively with a Sarmiento brace. Unfortunately, she progressed to nonunion, prompting the need for surgical intervention via open reduction and internal fixation. Following surgery, she experienced hardware failure but ultimately achieved union after returning to her Sarmiento brace.