The results of locked intramedullary nailing for non-union of forearm bones.
BACKGROUND
We report our experience with the use of a full-thickness corticocancellous iliac-crest graft, 1 to 5 centimeters in length - to treat established nonunion of the radius and/or ulna.


METHODS
The technique was used in 14 patients (11 men and 3 women, age 19 to 59). The graft application was combined by rigid fixation with intramedullary locking nail, permitting early active mobilisation. We treated also one patient with infection complication of nonunion radius and ulna. In this case evacuation of metal plate, sequestrectomy, fixation external then antibiotics have been applied in first stage. After curing bone infection the grafting and fixation with the use of intramedullary locking nail have been made in second stage. RESULTS. The bone union has been achieved between 26-th and 33-rd week after operation in seven patients, in four patients with nonunion of radius and ulna bone union has been achieved after 33 weeks. In another two patients with graft 5 cm in length - bone union has been achieved after 28 weeks. In one patient with bone infection the grafts were good incorporated after 40 weeks. The motion of elbow and wrist in all cases has been satisfactory.


CONCLUSIONS
Intramedullary nailing in treatment for forearm bones nonunion with use corticocancellous graft is technically easy, didn't require immobilization in the cast and enable early postoperative rehabilitation.
Krzykawski
Ryszard
R
Department of Orthopaedics & Traumatology, Prof A Sokołowski Memorial Specialised Hospital, Szczecin-Zdunowo, Polland. dexak1972@tlen.pl
Król
Roman
R
Kamiński
Adam
A
D000328:Adult; D001858:Bone Nails; D016025:Bone Transplantation; D005260:Female; D005543:Forearm Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014458:Ulna Fractures / Q000000981:diagnostic imaging / Q000601:surgery*