Author/Authors :
Oryadi Zanjani، Leila نويسنده Research Center for Neural Repair (RCNR), Animal
Laboratory Department, University of Tehran, Tehran, IR
Iran , , Kamrani، Reza Shahryar نويسنده Department of Orthopaedic and Trauma Surgery, Shariati
Hospital, Tehran University of Medical Sciences, Tehran, IR
Iran , , Fallah، Yousof نويسنده Department of Orthopaedic and Trauma Surgery, Imam
Khomeini Hospital, Tehran University of Medical Sciences, Tehran, IR
Iran , , Nabian، Mohammad Hossein نويسنده Research Center for Neural Repair (RCNR), Animal
Laboratory Department, University of Tehran, Tehran, IR
Iran ,
Abstract :
Background: Forearm nonunion is a challenging condition for orthopaedic surgeons.
Objectives: In this study, we used a new technique for the treatment of forearm nonunion with bone loss and/or current signs of infection.
Patients and Methods: Four patients were managed with thorough debridement and a vascularized regional osteocutaneous flap from the distal ulna based on the posterior interosseous artery.
Results: Union was achieved after an average of 3.75 months. Skin flap was viable in all patients. The Quick DASH score, VAS score and forearm and elbow range of motion improved compared to preoperative evaluations.
Conclusions: A posterior interosseous osteocutaneous flap from the distal ulna is a reliable vascularized bone graft for managing forearm nonunion.
