title: Vascularized posterior interosseous pedicled bone grafting for infected forearm nonunion.
abstract: Infected forearm nonunion is challenging to treat. We have used a vascularized pedicled bone graft from the distal ulna based on the posterior interosseous artery to treat forearm nonunion with current or previous signs of infection in six patients. Bone union was achieved after a mean of 3.8 months. After a mean follow-up of 25.7 months, no signs of persistent or reactivation of infection were seen in any patient. The mean Quick DASH score significantly improved from 77.4 to 17.6. In addition, the active range of motion of the wrist improved significantly after surgery. In our patients, a vascularized posterior interosseous pedicled bone from the distal ulna is a reliable vascularized bone graft for managing infected forearm nonunion.
authors: Department of Orthopaedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Joint Reconstruction Research Centre, Tehran University of Medical Sciences, Tehran, Iran.
authors: R S
authors: RS
authors: Kamrani
authors: Department of Orthopaedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Joint Reconstruction Research Centre, Tehran University of Medical Sciences, Tehran, Iran.
authors: A
authors: A
authors: Farhoud
authors: Department of Orthopaedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran hamooooooon@yahoo.com.
authors: M H
authors: MH
authors: Nabian
authors: Department of Orthopaedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors: L O
authors: LO
authors: Zanjani
authors: Joint Reconstruction Research Centre, Tehran University of Medical Sciences, Tehran, Iran.
authors: M
authors: M
authors: Farzan
mesh_terms: D000328:Adult; D000368:Aged; D003646:Debridement; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D017102:Fracture Healing; D005599:Fractures, Ununited / Q000601:surgery*; D018737:Hand Strength; D006801:Humans; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000601:surgery*; D011885:Radius Fractures / Q000601:surgery*; D014457:Ulna / Q000098:blood supply / Q000637:transplantation*; D014458:Ulna Fractures / Q000601:surgery*; D055815:Young Adult
keywords: Posterior interosseous bone flap; forearm; infected nonunion