TY - JOUR ID - 99953 TI - Treatment of Nonunion of Forearm Bones Using Radial Forearm Bone Flap JO - Trauma Monthly JA - TM LA - en SN - 2251-7464 AU - Kamrani, Reza Shahryar AU - Farhoud, Amir Reza AU - Nabian, Mohammad Hossein AU - Farhadi, Leila AD - Y1 - 2015 PY - 2015 VL - 20 IS - 4 SP - EP - KW - Forearm KW - nonunion KW - Microsurgery DO - 10.5812/traumamon.22622 N2 - Background: Treatment of forearm fracture nonunion is challenging. Several surgical techniques for the treatment of forearm nonunion have been reported. Objectives: The aim of this prospective study was to evaluate the effects of the radial forearm bone graft technique in cases with forearm nonunion. Patients and Methods: We treated 7 patients with forearm nonunions via radial forearm bone flap and internal plate fixation. On the preoperative examination and last follow-up, the quick disabilities of the arm, shoulder, and hand (Q-DASH) score, elbow, forearm and wrist arches of motion and grip force were measured. At the final follow-up, radiographic union and patient satisfaction and return to work were assessed. Results: The mean follow-up duration was 34 ± 23 months. The Q-DASH scores improved from 70 ± 6 points preoperatively to 13 ± 15 points at final follow-up (P < 0.01). The preopetative range of motion (ROM) was 101 ± 26 degrees; whereas the final forearm ROM was 140 ± 17 (P = 0.01). All nonunions united uneventfully (range 3-6 months). At the last follow-up, the grip force was 83% of uninjured extremity and all patients were satisfied with the outcome of the operation. Conclusions: Radial forearm bone flap is a safe, useful and novel technique in cases with forearm nonunion. UR - https://www.traumamon.com/article_99953.html L1 - https://www.traumamon.com/article_99953_423a5d1804b725096d092155581f3fde.pdf ER -