Use of homologous bone graft in the treatment of aseptic forearm nonunion

Musculoskelet Surg. 2011 Apr;95(1):31-5. doi: 10.1007/s12306-011-0117-8. Epub 2011 Mar 26.

Abstract

The dyaphyseal nonunion of forearm bones is a complication that changes the normal interaction between radius and ulna, which may lead to forearm malfunction. We reviewed 14 patients treated by surgical technique included a homologous bone graft in combination with a plate. The mean age was 31 years (range, 18-45 years) at the time of surgery. Minimum follow-up was 2 years (mean, 5 years; range, 2-13 years). There were no intraoperative or postoperative complications. At last follow-up, all forearm bones had remodelled. The mean visual analogue pain scale was 1 (range, 0-4). There was a high success rate regarding forearm alignment and functional results; all patients recovered daily and working activities quickly. This surgical technique in treatment of aseptic forearm nonunion by combining homologous bone graft with a plate led to bone healing, improved forearm function, and a durable outcome with long-term follow-up.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Follow-Up Studies
  • Forearm / surgery
  • Fracture Fixation* / methods
  • Fracture Fixation, Internal / methods
  • Fracture Fixation, Intramedullary / methods
  • Fracture Healing
  • Fractures, Ununited / rehabilitation
  • Fractures, Ununited / surgery*
  • Humans
  • Internal Fixators
  • Male
  • Radius Fractures / rehabilitation
  • Radius Fractures / surgery*
  • Retrospective Studies
  • Tibia / transplantation*
  • Transplantation, Homologous
  • Treatment Outcome
  • Ulna Fractures / rehabilitation
  • Ulna Fractures / surgery*