Pseudarthrose congénitale de l’avant-bras. À propos de deux cas et revue de la littérature

Charles, Yann Philippe; Diméglio, Alain; Chammas, Michel

doi:10.1016/j.main.2008.11.003

Cited by 7 publications

(8 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…La pseudarthrose de l'ulna représente la forme la plus fréquente (50 %), suivi de la pseudarthrose du radius (26 %), alors que la pseudarthrose des deux os est plus rare (24 %) [7].…”

Section: Discussionunclassified

“…Les techniques de greffes conventionnelles ne mènent que rarement à la consolidation, la technique de choix reste le transfert de péroné (fibula) vascularisé [7]. L'autre solution est la création d'un avantbras à un seul os, c'est-à-dire la réalisation d'une synostose entre l'ulna proximal et le radius distal qui a été décrite par Lloyd Roberts [8] et Straub [9].…”

Section: Discussionunclassified

See 1 more Smart Citation

Greffon non vascularisé de péroné (fibula) comme technique de sauvetage pour reconstruction d’un avant-bras

Idrissi

Galiua

2010

Chirurgie de la Main

View full text Add to dashboard Cite

“…La pseudarthrose de l'ulna représente la forme la plus fréquente (50 %), suivi de la pseudarthrose du radius (26 %), alors que la pseudarthrose des deux os est plus rare (24 %) [7].…”

Section: Discussionunclassified

Greffon non vascularisé de péroné (fibula) comme technique de sauvetage pour reconstruction d’un avant-bras

Idrissi

Galiua

2010

Chirurgie de la Main

View full text Add to dashboard Cite

“…With an incidence of only 2 per 1 million, 10 this pathology can affect the ulna, radius, or even fewer instances in both forearm bones. 11 – 13 It is commonly found in conjunction with neurofibromatosis (NF) type I. 14 As with other congenital pseudarthrosis, such as in the tibia, the main treatment problem remains to achieve a sound bone union in the area of the dysplastic, malformed bone(s).…”

Section: Obstetrical Brachial Plexus Injuriesmentioning

confidence: 99%

Microsurgery in pediatric upper limb reconstructions: An overview

Catena

Baldrighi

Jester

et al. 2022

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

The use of microsurgery has spread during the last decades, making resolvable many complex defects considered hitherto inapproachable. Although the small vessel diameter in children was initially considered a technical limitation, the increase in microsurgical expertise over the past three decades allowed us to manage many pediatric conditions by means of free tissue transfers. Pediatric microsurgery has been shown to be feasible, gaining a prominent place in the treatment of children affected by limb malformations, tumors, nerve injuries, and post-traumatic defects. The aim of this current concepts review is to describe the more frequent pediatric upper limb conditions in which the use of microsurgical reconstructions should be considered in the range of treatment options.

show abstract

“…Previous studies illustrated the high association with neurofibromatosis type 1 (NF1). In fact, 40% to 73% of patients presenting with congenital pseudarthroses of a forearm bone suffer from neurofibromatosis [1][2][3][4]. According to Ding et al, in 2017, this hereditary disease worldwide affected one in 3000 live births [5].…”

Section: Introductionmentioning

confidence: 99%

“…According to Ding et al, in 2017, this hereditary disease worldwide affected one in 3000 live births [5]. Until recently, only 68 cases of forearm pseudarthrosis have been reported in English literature, 29 of which had been isolated ulnar cases, 19 radius cases, and in 20 cases, both bones were affected simultaneously [4,[6][7][8]. Charles et al [4] reported 50% pseudarthrosis of the ulna, 26% of the radius and 24% affected both forearm bones.…”

Section: Introductionmentioning

confidence: 99%

Vascularized Growth Plate Transfer in Paediatric Ulna Non-Union: Operative Technique and Review of the Literature

Grünberger,

Klein,

Barandun

et al. 2023

JCM

View full text Add to dashboard Cite

Congenital pseudarthrosis of forearm fractures is rare and is strongly associated with neurofibromatosis type 1 (NF1). Our case report illustrates the progression of a non-union of the ulna after minor trauma in a twelve-year-old boy, newly diagnosed with NF1, and presents the technique of microsurgical bone reconstruction, including the growth plate. More than seven years after the first operation, follow-up presents a favorable outcome with a pain-free patient and unrestricted function of the forearm after a secondary correction of the remaining radial bowing. This treatment is discussed with a comprehensive review of the current literature on ulnar congenital pseudarthrosis in PubMed and Google Scholar and free fibular growth plate transfer in PubMed and Google Scholar. Nine publications reporting on 20 cases of congenital ulnar non-unions were identified. With this reconstructive option, favorable outcomes were achieved in all cases with the union after primary surgery and complications requiring further surgeries in nine cases. The benefit of vascularized growth plate bone transfer in congenital ulna non-union seems to be significant compared to other therapies such as open reduction internal fixation (ORIF), non-vascularized bone grafts, or one-bone-forearms and beneficial when growth reconstruction is needed. Other techniques might be necessary to improve insufficient long-term results.

show abstract

Pseudarthrose congénitale de l’avant-bras. À propos de deux cas et revue de la littérature

Cited by 7 publications

References 43 publications

Greffon non vascularisé de péroné (fibula) comme technique de sauvetage pour reconstruction d’un avant-bras

Greffon non vascularisé de péroné (fibula) comme technique de sauvetage pour reconstruction d’un avant-bras

Microsurgery in pediatric upper limb reconstructions: An overview

Vascularized Growth Plate Transfer in Paediatric Ulna Non-Union: Operative Technique and Review of the Literature

Contact Info

Product

Resources

About