title: [Intramedullary osteosynthesis of the ulna in revision surgery].
abstract: The exact and adequate management of diaphyesal fractures of the forearm is necessary to ensure forearm motion. Unsatisfactory treatment can lead to loss of function and disability of forearm and hand movement, resulting in severe patient morbidity. Since the rotational and angulatory stresses at the fracture site are the superior factors which influence the outcome of the forearm fracture healing after surgical treatment, the implants must fulfill some general prerequisites including high biomechanical stability, less invasive surgical approach and adequate biological features. However, less clinical studies are known for cases of complicated ulnar fractures when additional revision surgery is necessary to restore form and function. Thus, the choice of implant in such difficult situations requires a profound knowledge and experience. In a series of seven clinical cases we report about the successful use of the ForeSight-nail in revision surgery of complicated ulnar fractures. The series include cases with refractures after plate removal, in-situ plate brokerage and a critical size bone non-union which were treated with interlocking intramedullary osteosynthesis technique.
authors.affiliation: Klinik und Poliklinik für Unfallchirurgie, Johannes-Gutenberg Universität Mainz. Hofmann.trauma-surgery@gmx.net
authors.forename: A
authors.initials: A
authors.lastname: Hofmann
authors.forename: M H
authors.initials: MH
authors.lastname: Hessmann
authors.forename: L
authors.initials: L
authors.lastname: Rudig
authors.forename: R
authors.initials: R
authors.lastname: Küchle
authors.forename: P M
authors.initials: PM
authors.lastname: Rommens
mesh_terms: D000328:Adult; D000368:Aged; D001858:Bone Nails; D001860:Bone Plates; D020878:Device Removal; D004868:Equipment Failure; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D005594:Fracture Fixation, Intramedullary; D017102:Fracture Healing / Q000502:physiology; D017759:Fractures, Malunited / Q000000981:diagnostic imaging / Q000601:surgery; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011542:Pseudarthrosis / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D012086:Reoperation; D014458:Ulna Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000601:surgery