Treatment of nonunion of the forearm bones with posterior interosseous bone flap

Background Reconstructions of forearm fracture nonunions are frequently complex. A few studies that help guide the treatment of forearm nonunion have been reported. We offer a novel surgical technique to treat nonunion of the forearm using a regional vascularized bone graft. Methods Four females and...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Kamrani, Reza Shahryar [verfasserIn] Mehrpour, Saeed Reza [verfasserIn] Sorbi, Reza [verfasserIn] Aghamirsalim, Mohammadreza [verfasserIn] Farhadi, Leila [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2013

Schlagwörter:	Donor Site Morbidity Bone Flap Forearm Bone Vascularized Fibular Graft Free Vascularized Fibular Graft

Übergeordnetes Werk:	Enthalten in: Journal of orthopaedic science - Amsterdam : Elsevier, 1996, 18(2013), 4 vom: 19. Apr., Seite 563-568
Übergeordnetes Werk:	volume:18 ; year:2013 ; number:4 ; day:19 ; month:04 ; pages:563-568

Links:	Volltext

DOI / URN:	10.1007/s00776-013-0395-0

Katalog-ID:	SPR00776202X

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520			\|a Background Reconstructions of forearm fracture nonunions are frequently complex. A few studies that help guide the treatment of forearm nonunion have been reported. We offer a novel surgical technique to treat nonunion of the forearm using a regional vascularized bone graft. Methods Four females and 5 males ranging from 27 to 74 years of age with 7 ulna and 2 radius nonunions were surgically treated by pedicle grafting with a posterior interosseous bone flap (PIBF) and internal fixation with a plate. There were no cases with extensive soft tissue damage or infection. Pre- and postoperatively (mean 21 months), all patients were assessed by radiographs and for function by the Disabilities of the Arm, Shoulder and Hand (DASH) score. Results Function of the upper extremity was improved in all patients. DASH scores improved from 61.2 points pre-operatively to 12 points at final follow-up. All nonunions were united uneventfully. Conclusions Following debridement of the necrotic tissue, the bone defect can be filled with a vascularized graft from posterior interosseous pedicles. Pedicled PIBF is a safe and useful novel technique in cases of atrophic or hypertrophic nonunion of the middle third of the radius or proximal two-thirds of the ulna.
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allfields	10.1007/s00776-013-0395-0 doi (DE-627)SPR00776202X (SPR)s00776-013-0395-0-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Kamrani, Reza Shahryar verfasserin aut Treatment of nonunion of the forearm bones with posterior interosseous bone flap 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Reconstructions of forearm fracture nonunions are frequently complex. A few studies that help guide the treatment of forearm nonunion have been reported. We offer a novel surgical technique to treat nonunion of the forearm using a regional vascularized bone graft. Methods Four females and 5 males ranging from 27 to 74 years of age with 7 ulna and 2 radius nonunions were surgically treated by pedicle grafting with a posterior interosseous bone flap (PIBF) and internal fixation with a plate. There were no cases with extensive soft tissue damage or infection. Pre- and postoperatively (mean 21 months), all patients were assessed by radiographs and for function by the Disabilities of the Arm, Shoulder and Hand (DASH) score. Results Function of the upper extremity was improved in all patients. DASH scores improved from 61.2 points pre-operatively to 12 points at final follow-up. All nonunions were united uneventfully. Conclusions Following debridement of the necrotic tissue, the bone defect can be filled with a vascularized graft from posterior interosseous pedicles. Pedicled PIBF is a safe and useful novel technique in cases of atrophic or hypertrophic nonunion of the middle third of the radius or proximal two-thirds of the ulna. Donor Site Morbidity (dpeaa)DE-He213 Bone Flap (dpeaa)DE-He213 Forearm Bone (dpeaa)DE-He213 Vascularized Fibular Graft (dpeaa)DE-He213 Free Vascularized Fibular Graft (dpeaa)DE-He213 Mehrpour, Saeed Reza verfasserin aut Sorbi, Reza verfasserin aut Aghamirsalim, Mohammadreza verfasserin aut Farhadi, Leila verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 18(2013), 4 vom: 19. Apr., Seite 563-568 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:18 year:2013 number:4 day:19 month:04 pages:563-568 https://dx.doi.org/10.1007/s00776-013-0395-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_31 GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 18 2013 4 19 04 563-568
spelling	10.1007/s00776-013-0395-0 doi (DE-627)SPR00776202X (SPR)s00776-013-0395-0-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Kamrani, Reza Shahryar verfasserin aut Treatment of nonunion of the forearm bones with posterior interosseous bone flap 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Reconstructions of forearm fracture nonunions are frequently complex. A few studies that help guide the treatment of forearm nonunion have been reported. We offer a novel surgical technique to treat nonunion of the forearm using a regional vascularized bone graft. Methods Four females and 5 males ranging from 27 to 74 years of age with 7 ulna and 2 radius nonunions were surgically treated by pedicle grafting with a posterior interosseous bone flap (PIBF) and internal fixation with a plate. There were no cases with extensive soft tissue damage or infection. Pre- and postoperatively (mean 21 months), all patients were assessed by radiographs and for function by the Disabilities of the Arm, Shoulder and Hand (DASH) score. Results Function of the upper extremity was improved in all patients. DASH scores improved from 61.2 points pre-operatively to 12 points at final follow-up. All nonunions were united uneventfully. Conclusions Following debridement of the necrotic tissue, the bone defect can be filled with a vascularized graft from posterior interosseous pedicles. Pedicled PIBF is a safe and useful novel technique in cases of atrophic or hypertrophic nonunion of the middle third of the radius or proximal two-thirds of the ulna. Donor Site Morbidity (dpeaa)DE-He213 Bone Flap (dpeaa)DE-He213 Forearm Bone (dpeaa)DE-He213 Vascularized Fibular Graft (dpeaa)DE-He213 Free Vascularized Fibular Graft (dpeaa)DE-He213 Mehrpour, Saeed Reza verfasserin aut Sorbi, Reza verfasserin aut Aghamirsalim, Mohammadreza verfasserin aut Farhadi, Leila verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 18(2013), 4 vom: 19. Apr., Seite 563-568 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:18 year:2013 number:4 day:19 month:04 pages:563-568 https://dx.doi.org/10.1007/s00776-013-0395-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_31 GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 18 2013 4 19 04 563-568
allfields_unstemmed	10.1007/s00776-013-0395-0 doi (DE-627)SPR00776202X (SPR)s00776-013-0395-0-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Kamrani, Reza Shahryar verfasserin aut Treatment of nonunion of the forearm bones with posterior interosseous bone flap 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Reconstructions of forearm fracture nonunions are frequently complex. A few studies that help guide the treatment of forearm nonunion have been reported. We offer a novel surgical technique to treat nonunion of the forearm using a regional vascularized bone graft. Methods Four females and 5 males ranging from 27 to 74 years of age with 7 ulna and 2 radius nonunions were surgically treated by pedicle grafting with a posterior interosseous bone flap (PIBF) and internal fixation with a plate. There were no cases with extensive soft tissue damage or infection. Pre- and postoperatively (mean 21 months), all patients were assessed by radiographs and for function by the Disabilities of the Arm, Shoulder and Hand (DASH) score. Results Function of the upper extremity was improved in all patients. DASH scores improved from 61.2 points pre-operatively to 12 points at final follow-up. All nonunions were united uneventfully. Conclusions Following debridement of the necrotic tissue, the bone defect can be filled with a vascularized graft from posterior interosseous pedicles. Pedicled PIBF is a safe and useful novel technique in cases of atrophic or hypertrophic nonunion of the middle third of the radius or proximal two-thirds of the ulna. Donor Site Morbidity (dpeaa)DE-He213 Bone Flap (dpeaa)DE-He213 Forearm Bone (dpeaa)DE-He213 Vascularized Fibular Graft (dpeaa)DE-He213 Free Vascularized Fibular Graft (dpeaa)DE-He213 Mehrpour, Saeed Reza verfasserin aut Sorbi, Reza verfasserin aut Aghamirsalim, Mohammadreza verfasserin aut Farhadi, Leila verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 18(2013), 4 vom: 19. Apr., Seite 563-568 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:18 year:2013 number:4 day:19 month:04 pages:563-568 https://dx.doi.org/10.1007/s00776-013-0395-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_31 GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 18 2013 4 19 04 563-568
allfieldsGer	10.1007/s00776-013-0395-0 doi (DE-627)SPR00776202X (SPR)s00776-013-0395-0-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Kamrani, Reza Shahryar verfasserin aut Treatment of nonunion of the forearm bones with posterior interosseous bone flap 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Reconstructions of forearm fracture nonunions are frequently complex. A few studies that help guide the treatment of forearm nonunion have been reported. We offer a novel surgical technique to treat nonunion of the forearm using a regional vascularized bone graft. Methods Four females and 5 males ranging from 27 to 74 years of age with 7 ulna and 2 radius nonunions were surgically treated by pedicle grafting with a posterior interosseous bone flap (PIBF) and internal fixation with a plate. There were no cases with extensive soft tissue damage or infection. Pre- and postoperatively (mean 21 months), all patients were assessed by radiographs and for function by the Disabilities of the Arm, Shoulder and Hand (DASH) score. Results Function of the upper extremity was improved in all patients. DASH scores improved from 61.2 points pre-operatively to 12 points at final follow-up. All nonunions were united uneventfully. Conclusions Following debridement of the necrotic tissue, the bone defect can be filled with a vascularized graft from posterior interosseous pedicles. Pedicled PIBF is a safe and useful novel technique in cases of atrophic or hypertrophic nonunion of the middle third of the radius or proximal two-thirds of the ulna. Donor Site Morbidity (dpeaa)DE-He213 Bone Flap (dpeaa)DE-He213 Forearm Bone (dpeaa)DE-He213 Vascularized Fibular Graft (dpeaa)DE-He213 Free Vascularized Fibular Graft (dpeaa)DE-He213 Mehrpour, Saeed Reza verfasserin aut Sorbi, Reza verfasserin aut Aghamirsalim, Mohammadreza verfasserin aut Farhadi, Leila verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 18(2013), 4 vom: 19. Apr., Seite 563-568 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:18 year:2013 number:4 day:19 month:04 pages:563-568 https://dx.doi.org/10.1007/s00776-013-0395-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_31 GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 18 2013 4 19 04 563-568
allfieldsSound	10.1007/s00776-013-0395-0 doi (DE-627)SPR00776202X (SPR)s00776-013-0395-0-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.00 bkl 44.83 bkl Kamrani, Reza Shahryar verfasserin aut Treatment of nonunion of the forearm bones with posterior interosseous bone flap 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Reconstructions of forearm fracture nonunions are frequently complex. A few studies that help guide the treatment of forearm nonunion have been reported. We offer a novel surgical technique to treat nonunion of the forearm using a regional vascularized bone graft. Methods Four females and 5 males ranging from 27 to 74 years of age with 7 ulna and 2 radius nonunions were surgically treated by pedicle grafting with a posterior interosseous bone flap (PIBF) and internal fixation with a plate. There were no cases with extensive soft tissue damage or infection. Pre- and postoperatively (mean 21 months), all patients were assessed by radiographs and for function by the Disabilities of the Arm, Shoulder and Hand (DASH) score. Results Function of the upper extremity was improved in all patients. DASH scores improved from 61.2 points pre-operatively to 12 points at final follow-up. All nonunions were united uneventfully. Conclusions Following debridement of the necrotic tissue, the bone defect can be filled with a vascularized graft from posterior interosseous pedicles. Pedicled PIBF is a safe and useful novel technique in cases of atrophic or hypertrophic nonunion of the middle third of the radius or proximal two-thirds of the ulna. Donor Site Morbidity (dpeaa)DE-He213 Bone Flap (dpeaa)DE-He213 Forearm Bone (dpeaa)DE-He213 Vascularized Fibular Graft (dpeaa)DE-He213 Free Vascularized Fibular Graft (dpeaa)DE-He213 Mehrpour, Saeed Reza verfasserin aut Sorbi, Reza verfasserin aut Aghamirsalim, Mohammadreza verfasserin aut Farhadi, Leila verfasserin aut Enthalten in Journal of orthopaedic science Amsterdam : Elsevier, 1996 18(2013), 4 vom: 19. Apr., Seite 563-568 (DE-627)300185928 (DE-600)1481657-X 1436-2023 nnns volume:18 year:2013 number:4 day:19 month:04 pages:563-568 https://dx.doi.org/10.1007/s00776-013-0395-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_31 GBV_ILN_95 GBV_ILN_150 GBV_ILN_151 GBV_ILN_267 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4307 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4338 44.00 ASE 44.83 ASE AR 18 2013 4 19 04 563-568
language	English
source	Enthalten in Journal of orthopaedic science 18(2013), 4 vom: 19. Apr., Seite 563-568 volume:18 year:2013 number:4 day:19 month:04 pages:563-568
sourceStr	Enthalten in Journal of orthopaedic science 18(2013), 4 vom: 19. Apr., Seite 563-568 volume:18 year:2013 number:4 day:19 month:04 pages:563-568
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Donor Site Morbidity Bone Flap Forearm Bone Vascularized Fibular Graft Free Vascularized Fibular Graft
dewey-raw	610
isfreeaccess_bool	false
container_title	Journal of orthopaedic science
authorswithroles_txt_mv	Kamrani, Reza Shahryar @@aut@@ Mehrpour, Saeed Reza @@aut@@ Sorbi, Reza @@aut@@ Aghamirsalim, Mohammadreza @@aut@@ Farhadi, Leila @@aut@@
publishDateDaySort_date	2013-04-19T00:00:00Z
hierarchy_top_id	300185928
dewey-sort	3610
id	SPR00776202X
language_de	englisch
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A few studies that help guide the treatment of forearm nonunion have been reported. We offer a novel surgical technique to treat nonunion of the forearm using a regional vascularized bone graft. Methods Four females and 5 males ranging from 27 to 74 years of age with 7 ulna and 2 radius nonunions were surgically treated by pedicle grafting with a posterior interosseous bone flap (PIBF) and internal fixation with a plate. There were no cases with extensive soft tissue damage or infection. Pre- and postoperatively (mean 21 months), all patients were assessed by radiographs and for function by the Disabilities of the Arm, Shoulder and Hand (DASH) score. Results Function of the upper extremity was improved in all patients. DASH scores improved from 61.2 points pre-operatively to 12 points at final follow-up. All nonunions were united uneventfully. Conclusions Following debridement of the necrotic tissue, the bone defect can be filled with a vascularized graft from posterior interosseous pedicles. 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author	Kamrani, Reza Shahryar
spellingShingle	Kamrani, Reza Shahryar ddc 610 bkl 44.00 bkl 44.83 misc Donor Site Morbidity misc Bone Flap misc Forearm Bone misc Vascularized Fibular Graft misc Free Vascularized Fibular Graft Treatment of nonunion of the forearm bones with posterior interosseous bone flap
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topic_title	610 ASE 44.00 bkl 44.83 bkl Treatment of nonunion of the forearm bones with posterior interosseous bone flap Donor Site Morbidity (dpeaa)DE-He213 Bone Flap (dpeaa)DE-He213 Forearm Bone (dpeaa)DE-He213 Vascularized Fibular Graft (dpeaa)DE-He213 Free Vascularized Fibular Graft (dpeaa)DE-He213
topic	ddc 610 bkl 44.00 bkl 44.83 misc Donor Site Morbidity misc Bone Flap misc Forearm Bone misc Vascularized Fibular Graft misc Free Vascularized Fibular Graft
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title	Treatment of nonunion of the forearm bones with posterior interosseous bone flap
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title_full	Treatment of nonunion of the forearm bones with posterior interosseous bone flap
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author_browse	Kamrani, Reza Shahryar Mehrpour, Saeed Reza Sorbi, Reza Aghamirsalim, Mohammadreza Farhadi, Leila
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title_sort	treatment of nonunion of the forearm bones with posterior interosseous bone flap
title_auth	Treatment of nonunion of the forearm bones with posterior interosseous bone flap
abstract	Background Reconstructions of forearm fracture nonunions are frequently complex. A few studies that help guide the treatment of forearm nonunion have been reported. We offer a novel surgical technique to treat nonunion of the forearm using a regional vascularized bone graft. Methods Four females and 5 males ranging from 27 to 74 years of age with 7 ulna and 2 radius nonunions were surgically treated by pedicle grafting with a posterior interosseous bone flap (PIBF) and internal fixation with a plate. There were no cases with extensive soft tissue damage or infection. Pre- and postoperatively (mean 21 months), all patients were assessed by radiographs and for function by the Disabilities of the Arm, Shoulder and Hand (DASH) score. Results Function of the upper extremity was improved in all patients. DASH scores improved from 61.2 points pre-operatively to 12 points at final follow-up. All nonunions were united uneventfully. Conclusions Following debridement of the necrotic tissue, the bone defect can be filled with a vascularized graft from posterior interosseous pedicles. Pedicled PIBF is a safe and useful novel technique in cases of atrophic or hypertrophic nonunion of the middle third of the radius or proximal two-thirds of the ulna.
abstractGer	Background Reconstructions of forearm fracture nonunions are frequently complex. A few studies that help guide the treatment of forearm nonunion have been reported. We offer a novel surgical technique to treat nonunion of the forearm using a regional vascularized bone graft. Methods Four females and 5 males ranging from 27 to 74 years of age with 7 ulna and 2 radius nonunions were surgically treated by pedicle grafting with a posterior interosseous bone flap (PIBF) and internal fixation with a plate. There were no cases with extensive soft tissue damage or infection. Pre- and postoperatively (mean 21 months), all patients were assessed by radiographs and for function by the Disabilities of the Arm, Shoulder and Hand (DASH) score. Results Function of the upper extremity was improved in all patients. DASH scores improved from 61.2 points pre-operatively to 12 points at final follow-up. All nonunions were united uneventfully. Conclusions Following debridement of the necrotic tissue, the bone defect can be filled with a vascularized graft from posterior interosseous pedicles. Pedicled PIBF is a safe and useful novel technique in cases of atrophic or hypertrophic nonunion of the middle third of the radius or proximal two-thirds of the ulna.
abstract_unstemmed	Background Reconstructions of forearm fracture nonunions are frequently complex. A few studies that help guide the treatment of forearm nonunion have been reported. We offer a novel surgical technique to treat nonunion of the forearm using a regional vascularized bone graft. Methods Four females and 5 males ranging from 27 to 74 years of age with 7 ulna and 2 radius nonunions were surgically treated by pedicle grafting with a posterior interosseous bone flap (PIBF) and internal fixation with a plate. There were no cases with extensive soft tissue damage or infection. Pre- and postoperatively (mean 21 months), all patients were assessed by radiographs and for function by the Disabilities of the Arm, Shoulder and Hand (DASH) score. Results Function of the upper extremity was improved in all patients. DASH scores improved from 61.2 points pre-operatively to 12 points at final follow-up. All nonunions were united uneventfully. Conclusions Following debridement of the necrotic tissue, the bone defect can be filled with a vascularized graft from posterior interosseous pedicles. Pedicled PIBF is a safe and useful novel technique in cases of atrophic or hypertrophic nonunion of the middle third of the radius or proximal two-thirds of the ulna.
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title_short	Treatment of nonunion of the forearm bones with posterior interosseous bone flap
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Treatment of nonunion of the forearm bones with posterior interosseous bone flap

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Zugang & Verfügbarkeit

Vorhandene Bände

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