Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer

Infected nonunion of a forearm fracture complicated by a considerable skin-muscle defect poses a great challenge to orthopaedic surgeons. The treatment strategy comprises eradication of the infection, ensuring bony union and soft tissue coverage along with functional restoration. We report a case of...

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Published inCase reports in orthopedics Vol. 2017; no. 2017; pp. 1 - 4
Main Authors Hatzokos, Ippokratis, Pinto, Iosafat, Konstantinou, Panagiotis, Kostretzis, Lazaros, Iosifidou, Eirini, Ditsios, Konstantinos, Theodoroudis, Ioannis
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 01.01.2017
Hindawi
John Wiley & Sons, Inc
Hindawi Limited
Subjects
Antibiotics
Bone-grafting
Care and treatment
Case Report
Case reports
Complications and side effects
Defects
Diagnosis
Fractures, Open
Hospitals
Infections
Injuries
Internal fixation in fractures
Joint surgery
Orthopedic surgery
Surgeons
Surgery
Trauma
Wrist
Greece
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Summary:Infected nonunion of a forearm fracture complicated by a considerable skin-muscle defect poses a great challenge to orthopaedic surgeons. The treatment strategy comprises eradication of the infection, ensuring bony union and soft tissue coverage along with functional restoration. We report a case of a 23-year-old man with an open Gustilo-Anderson IIIb fracture complicated by infected nonunion after internal fixation. After thorough surgical debridement, a considerable soft tissue defect, extensor muscle loss, and posterior interosseous nerve laceration had to be addressed. He was finally treated with bone transportation and bone lengthening followed by tendon transfers.
Bibliography:Academic Editor: Zbigniew Gugala
ISSN:2090-6749
2090-6757
DOI:10.1155/2017/9672126