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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2015, Number 2

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Acta Ortop Mex 2015; 29 (2)

Formation of a single bone in the forearm in infected pseudoarthrosis of the proximal ulna

Escobedo-Troncoso VM, Cantú-Morales D

Language: Spanish
References: 13
Page: 114-117
PDF size: 203.64 Kb.


ABSTRACT

Purpose: To present the successful results of the single-bone reconstruction technique in the forearm in a patient who sustained an ulnar fracture and underwent multiple osteosyntheses and failed grafts. Case: Male patient, agricultural worker, who at age 39 sustained a left ulnar fracture. After 13 years and 5 surgeries involving different types of osteosyntheses and failed grafts, which resulted in infection of the left ulnar pseudoarthrosis, we decided to do a single-bone reconstruction of the forearm. He did well and achieved good function. His current status is: 20o of forearm supination, full elbow and wrist flexion and extension, appropriate muscle strength, and he returned to his job without functional limitations. Conclusion: The single-bone forearm reconstruction technique is, in properly selected cases, an excellent surgical alternative when reconstruction or salvage of the thoracic limb is required.


REFERENCES

  1. Castle ME: One-bone forearm. J Bone Joint Surg Am. 1974; 56-A(6): 1223-27.

  2. Haque IU: The production of a one-bone forearm as a salvage procedure after haematogenous osteomyelitis. J Bone Joint Surg Br. 1982; 64B (4): 454-5.

  3. Kitano KT, Tada K: One bone forearm procedure for partial defect of the ulna. J Pediatr Orthop. 1985; 5(3): 290-3.

  4. Lowe HG: Radio-ulnar fusion for defects in the forearm bones. J Bone Joint Surg Am. 1963; 45B(2): 351-9.

  5. Peterson CA 2nd, Maki S, Wood MB: Clinical results of the one-bone forearm. J Hand Surg Am. 1995; 20(4): 609-18.

  6. Hahn SB, et al: One-bone forearm procedure for acquired pseudoarthrosis of the ulna combined with radial head dislocation in a child: a case with 20 years follow-up. Yonsei Med J. 2011; 52(1): 204-6.

  7. Jones RW: Reconstruction of the forearm after loss of the radius. Br J Surg. 1934; 22(85): 23-6.

  8. Vitale CC: Reconstructive surgery for defects of the shaft of the ulna in children. J Bone Joint Surg Am. 1952; 34 A(4): 804-10.

  9. Chan PS, Blazer PE, Bozentka DJ, Gonzalez JB, Naranja RJ, Roros B: Optimal position for the one-bone forearm. J Hand Surg Br. 1999; 24(6): 724-6.

  10. Salles GRM, LO, Cabrera N, Alvarez L: Formación de un solo hueso en el antebrazo con injerto vascularizado de peroné. Rev Cubana Ortop Traumatol. 2005; 19: 41-6.

  11. Tong CW, Hung LK, Cheng JC: Lengthening of a one-bone forearm. J Hand Surg Br. 1998; 23 (4): 453-6.

  12. Green WT, Mital MA: Congenital radio ulnar synostosis-surgical treatment. J Bone Joint Surg Am. 1979; 61(5): 738-43.

  13. Wang AA, et al: Selection of fusion position during forearm arthrodesis. J Hand Surg Am. 2000; 25(5): 842-8.




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