Acta Ortopédica Mexicana

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >Acta Ortopédica Mexicana >Year 2005, Issue s1

Arredondo-Gómez E
Treatment of forearm nonunion with iliac crest graft and a Hunec nail
Acta Ortop Mex 2005; 19 (s1)

Language: Inglés
References: 22
Page: 28-33
PDF: 4. Kb.

Full text


Forearm bone loss is usually the result of high-energy trauma or complications or failures in managing simple fractures. Material and methods: a total of 38 patients were reviewed, with 44 lesions diagnosed as forearm bone loss resulting from nonunion, both aseptic and infected, where a Hunec nail was used as an implant and the defects were replaced with iliac crest fragments. The bones involved included 26 ulnas and 18 radii; they had been managed with previous surgical procedures, most of them with plates as implants. Infected cases were treated following the Colchero protocol. Iliac crest fragments were used to replace the bone defects ranging from 3 to 7.5 cm in length, with an average of 5.2 cm, and a Hunec nail was inserted as an implant. Results: the mean operative time was about 90 minutes. Except for 4 cases, all lesions healed within approximately 16 weeks. Combining an implant that provides optimum stability with a mean osteogenic supply rapidly integrating and geometrically adapting to the forearm bone shaft highlights the method advantages.

Key words: forearm, intramedullary nail, bone loss.


  1. Tauber C, Pritsch M: Non-union of forearm fractures with reference to plate osteosynthesis. Orthop Rev 1980; 9: 80-91.

  2. Caden JG: Internal fi9xation of the forearm fractures. J Bone Joint Surg 1961; 43-A.

  3. Colchero F: La etiología de la seudoartrosis. Gac Med Dist Fed 1984; 1: 125-129.

  4. Boyd HB: The treatment of difficult and inusual non unions. With special reference to the bridgingof defects. J Bone Joint Surg 1943; 25: 535-552.

  5. Miller RC, Phalen GS: The repair of defects of the radius with fibular bone grafts. J Bone Joint Surg 1947; 29: 629-636.

  6. Spira E: Bridging of bone defects in the forearm with iliac graft combined with intramedullary nailing. J Bone Joint Surg 1954; 36-B: 642-646.

  7. Dabezies EJ, et al: Management of segmental defects of the radius and ulna. Traum 1971; 11: 778-788.

  8. Grace TG, Eversman WWJr: The management of segmental bone loss associated with forearm fractures. J Bone Joint Surg 1980; 62(7): 1150-1155.

  9. Moroni A, et al: Surgical treatment of isolated forearm non-union with segmental bone loss. Injury, 1997; 28(8): 497-504.

  10. Chung S, et al: Vascularized bone transfer. J Bone Joint Surg 1992; 74-A:1441-1449.

  11. Colchero F: Clavos bloqueados en el tratamiento de las fracturas y las seudoartrosis de los huesos largos no sometidos a la marcha. Gac Med Dist Fed 1984; 1: 255-258.

  12. Esser R: Treatment of a bone defect of the forearm by bone transport. A case report. Clin Orthop 1996; (326): 221-224.

  13. Jupiter JB, et al: Treatment of segmental defects of the radius with use of the vascularized osteotocutaneous fibular autogenous gaft. J Bone Joint Surg 1997; 79(4): 542-549.

  14. Dell P, Sheppard J: Vascularized bone grafts in the treatment of infected forearm nonunions. J Hand Surg 1984; 9(5): 653-658.

  15. Sallés BG, et al: Injerto vascularizado de peroné y minifijador externo en defectos óseos del miembro superior. Rev Cubana Ortop Traumatol 2001; 15(1-2): 32-4.

  16. Chantelot C, et al: Massive bone loss of the forearm skeleton in trauma victims: six reconstruction’s with a free fibular Transfer. J Bone Joint Surg (British volume). London 2004; Vol. 86: 42.

  17. Salibian AH, Anzel SH, Salyer WA: Transfer of vascularized grafts of iliac bone to the extremities. J Bone Joint Surg 1987; 69(9): 1319-1326.

  18. Espinoza A: Trasplante de peroné vascularizado. Reconstrucción de pérdidas óseas segmentarias mayores de 6 cm. Rev Mex Ortop Traumatol 1996; 10(5): 214-219.

  19. Colchero F: Tratamiento integral del paciente con infecciones óseas. Edit. Trillas, 1990: 104-112.

  20. Vander Griend RA: The effect of internal fixation on the healing of large allografts. J Bone Joint Surg 1994; 76(5): 657-663.

  21. Colchero F, Velázquez J: Clavos bloqueantes. Rev Med del IMSS 1985; 21(4): 95-102.

  22. Goulet JA, Senunas LE, De Silva GL, Greenfield ML: et al: Autogenous iliac crest bone graft. Complications and functional assessment. Clin Orthop. 1997; (339): 76-81.

>Journals >Acta Ortopédica Mexicana >Year 2005, Issue s1

· Journal Index 
· Links 

Copyright 2019