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Non-anatomical surgical solutions for difficult non-unions: case series.

Zaki Said G, Farouk OA, Galal Said H, Mohamed El-Sharkawi MM - Trauma Mon (2013)

Bottom Line: This may not be possible in some neglected and complicated non-unions.Under these circumstances, modification of the standard techniques or a limited surgical interference, that might not be anatomical, may succeed in improving function.We present four cases of non-anatomical salvage solutions for difficult long bone non-unions with satisfactory functional outcome.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic and Trauma Surgery, Faculty of Medicine, Assiut University Hospitals, Assiut, Egypt.

ABSTRACT

Abstract: Non-union occurs when bone healing ceases and does not continue without some type of intervention. Classification of non-union is traditionally based on the amount of callus or bone healing at the fracture site. Successful treatment of non-union often depends on appropriate reduction and realignment of the fracture, bone grafting if necessary, and stabilization. This may not be possible in some neglected and complicated non-unions. Under these circumstances, modification of the standard techniques or a limited surgical interference, that might not be anatomical, may succeed in improving function. We present four cases of non-anatomical salvage solutions for difficult long bone non-unions with satisfactory functional outcome.

No MeSH data available.


Related in: MedlinePlus

A. Motor Car Accident Resulted in Extensive Damage to the Left Elbow and Forearm. Bone Loss of the Lower Third of the Left Radius and Ulna, Leaving 2 cmMetaphyseal Segment of the Radius, on External Fixator at Presentation After Several Reconstructive Operations. B. Long Fibular Graft Between the Remaining Shaft of Ulna and the Metaphyseal Segment of the Radius Extending into the Carpus With Plate Fixation Resulted in one Bone Forearm. Three Months Postoperatively Showing Union. C. Six Month Follow-up, the Patient had to Change his Job to a Clerical Worker.
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fig1717: A. Motor Car Accident Resulted in Extensive Damage to the Left Elbow and Forearm. Bone Loss of the Lower Third of the Left Radius and Ulna, Leaving 2 cmMetaphyseal Segment of the Radius, on External Fixator at Presentation After Several Reconstructive Operations. B. Long Fibular Graft Between the Remaining Shaft of Ulna and the Metaphyseal Segment of the Radius Extending into the Carpus With Plate Fixation Resulted in one Bone Forearm. Three Months Postoperatively Showing Union. C. Six Month Follow-up, the Patient had to Change his Job to a Clerical Worker.

Mentions: A 30 years old man sustained a motorcar accident, which resulted in Type III open fractures of the distal part of the left humerus and forearm bones. He had six operations of debridement, skin coverage, external fixation and sequestrectomy. His radiographs showed disorganized elbow, and loss of considerable part of the distal radius and ulna leaving 2 cm metaphyseal segment of the radius, (Figure 2). He had useful hand function and elbow flexion range 0-90°, yet he was unable to use his upper limb.


Non-anatomical surgical solutions for difficult non-unions: case series.

Zaki Said G, Farouk OA, Galal Said H, Mohamed El-Sharkawi MM - Trauma Mon (2013)

A. Motor Car Accident Resulted in Extensive Damage to the Left Elbow and Forearm. Bone Loss of the Lower Third of the Left Radius and Ulna, Leaving 2 cmMetaphyseal Segment of the Radius, on External Fixator at Presentation After Several Reconstructive Operations. B. Long Fibular Graft Between the Remaining Shaft of Ulna and the Metaphyseal Segment of the Radius Extending into the Carpus With Plate Fixation Resulted in one Bone Forearm. Three Months Postoperatively Showing Union. C. Six Month Follow-up, the Patient had to Change his Job to a Clerical Worker.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3860664&req=5

fig1717: A. Motor Car Accident Resulted in Extensive Damage to the Left Elbow and Forearm. Bone Loss of the Lower Third of the Left Radius and Ulna, Leaving 2 cmMetaphyseal Segment of the Radius, on External Fixator at Presentation After Several Reconstructive Operations. B. Long Fibular Graft Between the Remaining Shaft of Ulna and the Metaphyseal Segment of the Radius Extending into the Carpus With Plate Fixation Resulted in one Bone Forearm. Three Months Postoperatively Showing Union. C. Six Month Follow-up, the Patient had to Change his Job to a Clerical Worker.
Mentions: A 30 years old man sustained a motorcar accident, which resulted in Type III open fractures of the distal part of the left humerus and forearm bones. He had six operations of debridement, skin coverage, external fixation and sequestrectomy. His radiographs showed disorganized elbow, and loss of considerable part of the distal radius and ulna leaving 2 cm metaphyseal segment of the radius, (Figure 2). He had useful hand function and elbow flexion range 0-90°, yet he was unable to use his upper limb.

Bottom Line: This may not be possible in some neglected and complicated non-unions.Under these circumstances, modification of the standard techniques or a limited surgical interference, that might not be anatomical, may succeed in improving function.We present four cases of non-anatomical salvage solutions for difficult long bone non-unions with satisfactory functional outcome.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedic and Trauma Surgery, Faculty of Medicine, Assiut University Hospitals, Assiut, Egypt.

ABSTRACT

Abstract: Non-union occurs when bone healing ceases and does not continue without some type of intervention. Classification of non-union is traditionally based on the amount of callus or bone healing at the fracture site. Successful treatment of non-union often depends on appropriate reduction and realignment of the fracture, bone grafting if necessary, and stabilization. This may not be possible in some neglected and complicated non-unions. Under these circumstances, modification of the standard techniques or a limited surgical interference, that might not be anatomical, may succeed in improving function. We present four cases of non-anatomical salvage solutions for difficult long bone non-unions with satisfactory functional outcome.

No MeSH data available.


Related in: MedlinePlus