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Vascularized Posterior Interosseous Pedicled Bone Grafting for Infected Forearm Nonunion Publisher Pubmed



Kamrani RS1, 2 ; Farhoud A1, 2 ; Nabian MH1 ; Zanjani LO1 ; Farzan M2
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Authors Affiliations
  1. 1. Department of Orthopaedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Kargar Street, Tehran, 14117 13135, Iran
  2. 2. Joint Reconstruction Research Centre, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Hand Surgery: European Volume Published:2016


Abstract

Infected forearm nonunion is challenging to treat. We have used a vascularized pedicled bone graft from the distal ulna based on the posterior interosseous artery to treat forearm nonunion with current or previous signs of infection in six patients. Bone union was achieved after a mean of 3.8 months. After a mean follow-up of 25.7 months, no signs of persistent or reactivation of infection were seen in any patient. The mean Quick DASH score significantly improved from 77.4 to 17.6. In addition, the active range of motion of the wrist improved significantly after surgery. In our patients, a vascularized posterior interosseous pedicled bone from the distal ulna is a reliable vascularized bone graft for managing infected forearm nonunion. The Level of evidence of this study is 4. © The British Society for Surgery of the Hand.
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1. Treatment of Nonunion of Forearm Bones Using Radial Forearm Bone Flap, Trauma Monthly (2015)
2. Treatment of Distal Radius Fracture Nonunion With Posterior Interosseous Bone Flap, Iranian Red Crescent Medical Journal (2016)
3. Forearm As a Valuable Source of Vascularized Bone Graft for the Distal Humerus, Journal of Shoulder and Elbow Surgery (2018)
Experts (# of related papers)
Reza Shahriar Kamrani (3)
Mohammad Hossein Nabian (1)