title: Complications following one-bone forearm surgery for posttraumatic forearm and distal radioulnar joint instability.
abstract: OBJECTIVE
  To present the outcomes after one-bone forearm (OBF) surgery for chronic posttraumatic forearm and distal radioulnar joint instability.
  
  
  METHODS
  We conducted a retrospective chart review to study patients who underwent OBF surgery because of a traumatic etiology. We collected patient demographics, surgical technique, preoperative and postoperative range of motion, final grip strength, and complications from the medical records. Patients were asked to complete the Quick Disabilities of the Arm, Shoulder, and Hand questionnaire, a 0- to 10-point pain scale, and a 0- to 10-point treatment satisfaction scale.
  
  
  RESULTS
  There were 5 male and 5 female patients, with a mean age of 32 years at the time of OBF surgery (range, 17-44 y). The mean number of procedures before OBF surgery was 3.6 (range, 2-7); 4 patients had undergone a Darrach procedure and 3 patients had undergone a Sauvé-Kapandji procedure. The median clinical follow-up duration was 6 years (range, 1-17 y). Wrist and elbow range of motion did not change remarkably before and after surgery. Of 8 primary OBF surgeries, 3 resulted in nonunion. Of 10 patients, 4 experienced painful impingement of the remaining proximal radius on adjacent bone and soft tissue and required a total of 7 procedures after OBF surgery. The median follow-up duration for patient-rated outcomes was 10 years (range, 5-21 y; n = 7). The median Quick Disabilities of the Arm, Shoulder, and Hand questionnaire score was 77, the median pain score was 7, and the median satisfaction score was 7.
  
  
  CONCLUSIONS
  In our experience, complications after OBF surgery are common. Although wrist and elbow range of motion were spared, pain persisted and functional outcomes were poor. One-bone forearm surgery is our last resort for a chronically painful and unstable forearm.
  
  
  METHODS
  Therapeutic IV.
authors.affiliation: Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA, USA. smjacoby@handcenters.com
authors.forename: Sidney M
authors.initials: SM
authors.lastname: Jacoby
authors.forename: Abdo
authors.initials: A
authors.lastname: Bachoura
authors.forename: Eliseo V
authors.initials: EV
authors.lastname: Diprinzio
authors.forename: Randall W
authors.initials: RW
authors.lastname: Culp
authors.forename: A Lee
authors.initials: AL
authors.lastname: Osterman
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D018737:Hand Strength; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D010027:Osteotomy / Q000009:adverse effects; D010147:Pain Measurement; D017060:Patient Satisfaction; D011859:Radiography; D011884:Radius / Q000601:surgery*; D016059:Range of Motion, Articular; D014457:Ulna / Q000601:surgery*; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D055815:Young Adult