Aseptic Forearm Nonunions Treated by Plate and Opposite Fibular Autograft Strut

被引:23
作者
Faldini, Cesare [1 ]
Pagkrati, Stavroula [1 ]
Nanni, Matteo [1 ]
Menachem, Shay [1 ]
Giannini, Sandro [1 ]
机构
[1] Univ Bologna, Segreteria Univ, Ist Ortoped Rizzoli, Dept Orthopaed & Trauma Surg, I-40136 Bologna, Italy
关键词
SEGMENTAL BONE LOSS; DISTAL RADIUS; ILIAC CREST; LONG BONES; GRAFT; FIXATION; FRACTURES; MANAGEMENT; DEFECTS; SITE;
D O I
10.1007/s11999-009-0827-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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.
引用
收藏
页码:2125 / 2134
页数:10
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