Both Bone Forearm Infected Nonunion: Report of a One-Bone Free Fibula Flap Salvage and Literature Review

Background: Both bone forearm infective nonunions represent a rare but functionally limb threatening condition. Method: We report a successful salvage of a severe near total both bone diaphysial osteomyelitis by conversion to a one-bone forearm with free fibula flap. A literature review on forearm s...

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Published inHand (New York, N.Y.) Vol. 15; no. 4; pp. NP51 - NP56
Main Authors Xu, Chris, Orec, Rob, Mathy, Jon A
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 01.07.2020
Subjects
Case Report
anatomy
radius and ulna
infected nonunion
reconstruction
forearm
salvage
fibula flap
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Summary:Background: Both bone forearm infective nonunions represent a rare but functionally limb threatening condition. Method: We report a successful salvage of a severe near total both bone diaphysial osteomyelitis by conversion to a one-bone forearm with free fibula flap. A literature review on forearm salvage addressing both bone defects was performed. Results: Bony union was achieved at 4 months with a highly functional extremity salvage in our case. Conclusion: While very little prior experience has been reported for long segmental both bone forearm infected nonunions, we report of this highly satisfactory salvage using one-bone free tissue transfer strategy. We also provided our literature review with history, indication and evolution of individualized treatment options for this difficult surgical condition.
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ISSN:1558-9447
1558-9455
DOI:10.1177/1558944719857168