Adipofascial radial artery perforator flap interposition to treat post-traumatic radioulnar synostosis in a patient with head injury.
We report this 47-year-old man who presented with polytrauma following a fall from a roof in March 2011. He sustained a head injury and a complex, comminuted forearm fracture. He underwent an open reduction and internal fixation of the fracture at the time of injury, but later developed a rigid type 2 diaphyseal radioulnar synostosis, with loss of forearm rotation. Synostosis excision and a radial artery perforator-based adipofascial interposition flap to prevent recurrence has resulted in a good functional outcome and no recurrence at 2.5 years follow-up.
Queen Elizabeth Hospital, Birmingham, UK.
Deepak
D
Samson
Queen Elizabeth Hospital, Birmingham, UK.
Dominic
D
Power
Queen Elizabeth Hospital, Birmingham, UK.
Simon
S
Tan
D001860:Bone Plates; D006259:Craniocerebral Trauma / Q000150:complications*; D005543:Forearm Injuries / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005593:Fracture Fixation, Internal; D018460:Fractures, Comminuted / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D061525:Perforator Flap / Q000098:blood supply; D017534:Radial Artery; D011884:Radius / Q000473:pathology / Q000601:surgery*; D013580:Synostosis / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014457:Ulna / Q000473:pathology / Q000601:surgery*