Treatment of the radial shaft loss with pedicled graft from the ulna--a case report
Walaszek, I.; Zyluk, A.
Chirurgia Narzadow Ruchu i Ortopedia Polska 73(5): 309-312
2008
ISSN/ISBN: 0009-479X PMID: 19133430 Document Number: 624004
A case of 68-year-old woman with severe deformation of the left forearm and disability of the hand as a consequence of total dissociation and partial loss of radial shaft, after fracture sustained one year earlier is reported. The restoration of the length and shape of the radius was performed with the use of 4 cm long fragment of the ulna pedicled on the interosseous membrane, fixated with plate. Normal shape of the radius was achieved and the hand was held in the axis of the forearm. Bone healing was achieved at one year, and at the 2.5 years follow-up the patient was free of pain, had full fingers movement, full rotation of the forearm, total grip strength of 16 kG (64% of the power of the healthy hand) and subjective evaluation of the dexterity with DASH scale was 25 points, suggesting a mild loss of function.