Posttraumatic One-Bone Forearm Reconstruction

Allende, Christian; Allende, Bartolome T.

doi:10.2106/00004623-200402000-00022

Cited by 45 publications

(34 citation statements)

References 10 publications

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“…An alternative is the creation of a onebone forearm. 25 This can be accomplished by medial translocation of the radius to place it in continuity with the ulna. Tibial synostosis.…”

Section: Operative Techniquesmentioning

confidence: 99%

The management of fractures with bone loss

Keating

Simpson

Robinson

2005

The Journal of Bone and Joint Surgery. British volume

339

230

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“…An alternative is the creation of a onebone forearm. 25 This can be accomplished by medial translocation of the radius to place it in continuity with the ulna. Tibial synostosis.…”

Section: Operative Techniquesmentioning

confidence: 99%

The management of fractures with bone loss

Keating

Simpson

Robinson

2005

The Journal of Bone and Joint Surgery. British volume

339

230

View full text Add to dashboard Cite

“…All nonunions were classified as atrophic using the classification of Weber [11]. Exclusion criteria included patients with nonunions affecting the hand, infected nonunions treated in one-stage reconstructions or using vascularized bone grafts, and infected nonunions treated by reconstruction of a one bone forearm [12]. Patient's age averaged 35.9 years (range 11-69).…”

Section: Methodsmentioning

confidence: 99%

Infected nonunions of long bones of the upper extremity: staged reconstruction using polymethylmethacrylate and bone graft impregnated with antibiotics

et al. 2009

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This case series evaluates 12 patients presenting posttraumatic infected nonunions affecting long bones of the upper extremity, treated with staged reconstruction using polymethylmethacrylate spacers with antibiotics in the first stage and bone graft impregnated with antibiotics in the definitive surgical procedure. Five nonunions affected the humerus, four the ulna and three the radius. All nonunions were atrophic. Patient's age averaged 35.9 years. The size of the bony defect averaged 2.8 cm. Time between original trauma and revision surgery averaged 9.6 months. Follow-up averaged 19 months. All nonunions healed after an average of 5 months. DASH score at last follow-up averaged 15 points. Although two surgical procedures are needed, one to cure infection and another to achieve bony union, this approach for posttraumatic infected nonunions of long bones of the upper extremities represents a valid treatment alternative.

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“…(insert Figure 13) The ultimate choice for salvage of the unstable forearm that has failed the aforementioned methods would be creation of a radioulnar synostosis and a one-bone forearm (95,96). In addition to eliminating forearm rotation, the poor overall outcomes of this procedure cause many to consider it a last resort for treatment of painful forearm instability (95)(96)(97).…”

Section: Complications and Management: Arthroplastymentioning

confidence: 99%

“…In addition to eliminating forearm rotation, the poor overall outcomes of this procedure cause many to consider it a last resort for treatment of painful forearm instability (95)(96)(97).…”

Section: Complications and Management: Arthroplastymentioning

confidence: 99%