[Reconstruction of the loss of bone substance of the forearm by cubitalization of the radius (one bone forearm). Apropos of 6 cases].
Extensive forearm bone loss, whatever its etiology, presents a difficult reconstruction problem. This is mainly the case in the presence of lesions of the interosseous membrane associated with the radio-ulnar joint. When preservation of forearm rotation is not possible, cubitalization of the radius and reconstruction of the forearm by creation of a "one bone forearm" seems to be an excellent salvage technique both functionally and cosmetically. Our experience concerns six clinical cases; two of these cases are original and give the authors the opportunity to describe a new reconstructive technique of the distal humerus and elbow by vascularized transfer of the radius onto the radial artery (with a cutaneo-osseous transfer in one case). The etiology of the bone defect included severe trauma in three cases, and a Volkman's syndrome complicated by osteomyelitis in one case. Two cases represent an original technique of reconstruction of the distal humerus by a vascularised transfer of the radius onto the radial artery. Forearm reconstruction is performed by cubitalization of the radius. The etiology was traumatic in one case and neoplastic in another, and a cutaneo-osseous transfer was performed in the latter case. In this difficult problem of bone reconstruction, a favorable functional and cosmetic result was obtained in our series.
Bessy
H
H
Service de chirurgie Orthopédique et Reconstructrice de l'Hôpital Bichat, Paris.
Leemrijse
T
T
Cadot
B
B
Touam
C
C
Oberlin
C
C
D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D003161:Compartment Syndromes / Q000601:surgery; D004551:Elbow Joint / Q000601:surgery; D005260:Female; D005542:Forearm / Q000601:surgery*; D005543:Forearm Injuries / Q000601:surgery; D018219:Histiocytoma, Benign Fibrous / Q000601:surgery; D006801:Humans; D006811:Humerus / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000601:surgery; D017534:Radial Artery / Q000601:surgery; D011884:Radius / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods; D012983:Soft Tissue Neoplasms / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods; D014457:Ulna / Q000601:surgery*; D014458:Ulna Fractures / Q000601:surgery; D014955:Wrist Joint / Q000601:surgery