Modified Boyd's Dual Onlay Bone Graft Technique for 15 Years Old Neglected Nonunion Fracture both Bone Forearm with Severe Angular Deformity: Case Report.
BACKGROUND
Neglected case of nonunion of fracture both bones forearm with deformity is very difficult to manage. Treatment options are minimal. Identifying such a case in literature is also very rare. One such rare case is discussed here.


METHODS
Here, we present a case of a 65-year-old male patient, who was operated 15 years back for fracture both bones forearm, with 3.5 mm dynamic compression plate. Fracture went into nonunion and plate was broken. The patient presented to us 15 years later in August 2013 with nonunion, broken, and loosened implants and varus deformity of 90°. Implants were removed, sequential correction of deformity was done, using external fixators. After deformity correction was achieved, nonunion was managed by modified Boyd's dual onlay bone graft technique.


CONCLUSIONS
Modified Boyd's dual onlay bone graft technique is an effective method in achieving union and restoration of functions, even in patients with resistant nonunion.
Department of Orthopaedic Surgery, Government Royapettah Hospital, Chennai, Tamil Nadu, India.
Dhurvas Ramlal
DR
Ramprasath
Department of Orthopaedic Surgery, Government Royapettah Hospital, Chennai, Tamil Nadu, India.
Vasudevan
V
Thirunarayanan
Department of Orthopaedic Surgery, Government Royapettah Hospital, Chennai, Tamil Nadu, India.
Duraisamy
D
Ezhilmaran
Boyd; deformity; dual onlay; forearm; nonunion