Rare “double tragedy” and successful salvage strategy after failed bilateral humeral fracture fixation in a resource-constrained setting: a case report

This case underscores the challenges of managing complex orthopaedic trauma in low-resource settings, where inadequate healthcare infrastructure, limited access to suitable implants, and insufficient health insurance coverage exacerbate treatment difficulties. The successful outcome in this case was achieved through staged treatment, collaboration with the patient, and the use of donated SIGN nails. The report emphasizes the necessity for innovative solutions, collaborative efforts, and policy reforms to enhance fracture management outcomes and prevent long-term disabilities in resource-constrained settings. The role of humanitarian organizations in bridging the gap in orthopaedic care is also highlighted, demonstrating the potential for positive outcomes despite significant challenges.