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Injury. 2014 Dec;45(12):1880-4. doi: 10.1016/j.injury.2014.07.029. Epub 2014 Aug 7.

Bone transport for the treatment of infected forearm nonunion.

Author information

1
Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China.
2
Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China; Medical College, Nankai University, No. 94 Weijin Road, Tianjin 300071, PR China.
3
Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China. Electronic address: zhanglihai74@126.com.
4
Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxin Road, Beijing 100853, PR China. Electronic address: pftang301@sina.cn.

Abstract

OBJECTIVE:

The objective of this study was to evaluate the effectiveness of the treatment of infected forearm nonunion by bone transport.

MATERIALS AND METHODS:

We retrospectively reviewed 16 patients with infected forearm nonunion treated by bone transport. Our study included 10 males and 6 females with a mean of age 38.25 years. The site of bone defects involved 9 radius and 7 ulna. The average length of the bone defects after radical debridement was 3.81cm (range 2.2-7.5cm).

RESULTS:

The mean follow-up after removal of the frame was 39.63 months (range 26-55 months). No patient was lost to follow-up. All the patients had bone union and no recurrence of infection was observed. The mean external fixation time was 6.19 months (range 3-10 months), and the mean external fixation index was 1.63 months/cm (range 1.14-2.00 months/cm). The mean degrees of wrist flexion were 49.69° (range 45-55°), and the mean degrees of wrist extension were 50.63° (range 40-60°). The mean degrees of elbow flexion were 143.12° (range 135-150°), and the mean degrees of elbow extension were 4.69° (range 0-20°). The mean degrees of forearm pronation were 82.50° (range 70-90°), and the mean degrees of forearm supination were 83.75° (range 75-90°).

CONCLUSION:

Our study suggested that bone transport in the treatment of infected forearm nonunion acquired satisfied functional results. Radical debridement is the key step to control bone infection.

KEYWORDS:

Bone defects; Bone transport; Forearm; Infected nonunion

PMID:
25172529
DOI:
10.1016/j.injury.2014.07.029
[Indexed for MEDLINE]

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