Aseptic forearm nonunions treated by plate and opposite fibular autograft strut

Cesare Faldini, Stavroula Pagkrati, Matteo Nanni, Shay Menachem, Sandro Giannini

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Abstract

Forearm nonunion frequently changes the relationship between the radius and ulna and may lead to impairment of forearm function. We propose a new surgical technique for aseptic forearm nonunions combining a fibular cortical autograft strut with a metal plate and a fibular intercalary autograft in cases with a segmental bone defect. We retrospectively reviewed 20 patients with a mean age of 31 years (range, 17-48 years) at the time of surgery. Minimum followup was 12 years (mean, 14 years; range, 12-21 years). There were no intraoperative or postoperative complications. At last followup, all forearm bones had remodeled. The mean visual analog pain scale was 1 (range, 0-3). Forearm function improved; there were no radiographic signs of ankle arthritis at followup. Surgical treatment of aseptic forearm nonunions by combining a massive fibular cortical autograft strut with a plate and associating a fibular intercalary autograft in case of a segmental bone defect led to bone healing, improved forearm function, and a durable outcome with long-term followup. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

Original languageEnglish
Pages (from-to)2125-2134
Number of pages10
JournalClinical Orthopaedics and Related Research
Volume467
Issue number8
DOIs
Publication statusPublished - Aug 2009

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ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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