The One-Bone Forearm in Children: Surgical Technique and a Retrospective Review of Outcomes

Forearm and elbow secondary surgical procedures in neonatal brachial plexus palsy: a systematic scoping review

“…A study described the usage of osteotomies for patients across multiple pathologies including NBPP patients found that the procedure achieves a large degree of correction of the supination contracture. 7 Interestingly, when comparing postoperative passive supination between patients who underwent bony vs. soft tissue procedures, no significant difference was found. These findings further highlight that patients who undergo osteotomy return to more normal passive supination.…”

Free Functional Muscle Transfer and One Bone Forearm for Upper-Extremity Limb Salvage After High-Energy Ballistic Trauma

“…A 15-hole olecranon plate (Acumed LLC) was used for proximal fixation of the distal ulna segmental graft to the proximal ulna, and a 6-hole 3.5 mm straight forearm plate (Acumed LLC) was placed perpendicularly to span the proximal and distal ends of the segmental graft, with the forearm fixed in 50° of pronation, which has been shown to be optimal for activities—such as fine motor, writing, pinch, and grasp—imperative to preserve for the patient’s occupation as a teacher. 4

Figure 4 Immediate postoperative A anteroposterior and B lateral radiographs after definitive bony stabilization with one bone forearm using an 8 cm graft from the distal ulna and perpendicular plating of a 15-hole olecranon plate and 3.5 mm 6-hole straight forearm plate in 50° of pronation.

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