title: Centralization of ulna for infected nonunion of radius with extensive bone loss. A modified Hey-Groves procedure.
abstract: We describe a case of infected nonunion of the radius with extensive bone loss in an 11-year-old boy treated by centralization of the ulna. The technique used differs from the original Hey Groves procedure in that it preserves the distal end of the ulna with its important triangular fibrocartilage complex, thereby retaining stability and contour of the wrist joint. Our patient obtained a functionally and cosmetically satisfactory, stable forearm and wrist. We present the technique as a useful armament in the management of extensive bony defect of the radius arising from trauma or infection.
authors.affiliation: The Department of Orthopaedic Surgery, Salmaniya Medical Center, P.O. Box 12, Bahrain, Arabian Gulf. ram81@batelco.com.bh
authors.forename: A
authors.initials: A
authors.lastname: Malki
authors.forename: J
authors.initials: J
authors.lastname: Wong-Chung
authors.forename: V
authors.initials: V
authors.lastname: Hariharan
mesh_terms: D002648:Child; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods*; D018460:Fractures, Comminuted / Q000601:surgery; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008297:Male; D011885:Radius Fractures / Q000601:surgery*; D013530:Surgical Wound Infection / Q000601:surgery*; D014457:Ulna / Q000601:surgery*