Literature DB >> 32025132

Intramedullary nailing for treatment of forearm non-union: Is it useful? - A case series.

Rocco De Vitis1,2,3, Marco Passiatore1,3, Vitale Cilli4, Jacopo Maffeis5, Giuseppe Milano5, Giuseppe Taccardo1,2,3.   

Abstract

INTRODUCTION: Intramedullary osteosynthesis is often considered a second-order method for treatment of forearm non-union.
METHODS: We evaluated clinical and functional results from 49 patients affected by radio and/or ulna non-union treated using intramedullary nailing, with possible tricortical autologous bone grafting. Healing rate (primary outcome), healing time and functional status have been assessed.
RESULTS: Healing was observed in 46 cases (93.9%), the average healing time was 6.3 (SD ± 2.5) months. Excellent result (Anderson score) was reached in 38 cases (77.6%), satisfactory in 7 cases (14.3%).
CONCLUSIONS: Forearm non-unions represent a therapeutic challenge. Intramedullary nailing is a successful option of treatment.
© 2020 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Bone graft; Forearm non-union; Forearm pseudarthrosis; Intramedullary nailing; Non-union; Radius; Ulna

Year:  2020        PMID: 32025132      PMCID: PMC6997666          DOI: 10.1016/j.jor.2020.01.011

Source DB:  PubMed          Journal:  J Orthop        ISSN: 0972-978X


  29 in total

1.  Compression-plate fixation in acute diaphyseal fractures of the radius and ulna.

Authors:  L D Anderson; D Sisk; R E Tooms; W I Park
Journal:  J Bone Joint Surg Am       Date:  1975-04       Impact factor: 5.284

Review 2.  The clinical use of platelet-rich plasma in the promotion of bone healing: a systematic review.

Authors:  X L Griffin; C M Smith; M L Costa
Journal:  Injury       Date:  2008-12-12       Impact factor: 2.586

3.  Aseptic forearm nonunions treated by plate and opposite fibular autograft strut.

Authors:  Cesare Faldini; Stavroula Pagkrati; Matteo Nanni; Shay Menachem; Sandro Giannini
Journal:  Clin Orthop Relat Res       Date:  2009-04-07       Impact factor: 4.176

4.  Use of homologous bone graft in the treatment of aseptic forearm nonunion.

Authors:  C Faldini; M T Miscione; F Acri; M Chehrassan; M Bonomo; S Giannini
Journal:  Musculoskelet Surg       Date:  2011-03-26

Review 5.  When is a fracture healed? Radiographic and clinical criteria revisited.

Authors:  Bernadette G Dijkman; Sheila Sprague; Emil H Schemitsch; Mohit Bhandari
Journal:  J Orthop Trauma       Date:  2010-03       Impact factor: 2.512

6.  Ununited diaphyseal forearm fractures with segmental defects: plate fixation and autogenous cancellous bone-grafting.

Authors:  David Ring; Christian Allende; Koroush Jafarnia; Bartolome T Allende; Jesse B Jupiter
Journal:  J Bone Joint Surg Am       Date:  2004-11       Impact factor: 5.284

7.  Treatment of segmental defects of the radius with use of the vascularized osteoseptocutaneous fibular autogenous graft.

Authors:  J B Jupiter; H J Gerhard; J Guerrero; J A Nunley; L S Levin
Journal:  J Bone Joint Surg Am       Date:  1997-04       Impact factor: 5.284

8.  Complications of plate fixation of forearm fractures.

Authors:  P J Stern; W J Drury
Journal:  Clin Orthop Relat Res       Date:  1983-05       Impact factor: 4.176

9.  Italian version of the Disability of the Arm, Shoulder and Hand (DASH) questionnaire. Cross-cultural adaptation and validation.

Authors:  R Padua; L Padua; E Ceccarelli; E Romanini; G Zanoli; P C Amadio; A Campi
Journal:  J Hand Surg Br       Date:  2003-04

10.  Gap nonunion of forearm bones treated by modified Nicoll's technique.

Authors:  Dinesh K Gupta; Gaurav Kumar
Journal:  Indian J Orthop       Date:  2010-01       Impact factor: 1.251

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  7 in total

1.  Extraphyseal distal radius fracture in children: is the cast always needed? A retrospective analysis comparing Epibloc system and K-wire pinning.

Authors:  Marco Passiatore; Rocco De Vitis; Andrea Perna; Marco D'Orio; Vitale Cilli; Giuseppe Taccardo
Journal:  Eur J Orthop Surg Traumatol       Date:  2020-05-13

2.  Feasibility of Homodigital Flexor Digitorum Superficialis transposition, a new technique for A2-C1 pulleys reconstruction: A kinematic cadaver study.

Authors:  Rocco De Vitis; Marco Passiatore; Vitale Cilli; Alberto Lazzerini; Luciana Marzella; Giuseppe Taccardo
Journal:  J Orthop       Date:  2020-09-08

3.  Effect of a figure-of-eight cerclage wire with two Kirschner wires on fixation strength for transverse metacarpal shaft fractures: an in vitro study with artificial bone.

Authors:  Yung-Cheng Chiu; Cheng-En Hsu; Tsung-Yu Ho; Yen-Nien Ting; Ming-Tzu Tsai; Jui-Ting Hsu
Journal:  BMC Musculoskelet Disord       Date:  2021-05-10       Impact factor: 2.362

4.  A Prospective Observational Clinical and Radiological Study of a Modular Bridging External Fixator for Unstable Distal Radius Fractures.

Authors:  G Maccagnano; G Noia; G Vicenti; M Coviello; V Pesce; B Moretti
Journal:  Malays Orthop J       Date:  2021-11

5.  Arthroscopic-assisted radiocarpal ligaments tensioning for dynamic radiocarpal instability.

Authors:  Wei-Chen Hung; Jung-Pan Wang; Yi-Chao Huang; Cheng-Yu Yin; Cheng-Yi Wu; Hui-Kuang Huang
Journal:  BMC Musculoskelet Disord       Date:  2022-02-17       Impact factor: 2.362

6.  Elastic stable intramedullary fixation using epibloc versus crossed kirschner wires fixation for distal forearm fractures in children: A retrospective analysis.

Authors:  Rocco De Vitis; Marco D'Orio; Marco Passiatore; Andrea Perna; Vitale Cilli; Giuseppe Taccardo
Journal:  Afr J Paediatr Surg       Date:  2022 Jul-Sep

7.  A Single Intramedullary K-Wire Is Sufficient for the Management of Nonthumb Metacarpal Shaft Fractures.

Authors:  Mohamed I Abulsoud; Mohammed Elmarghany; Tharwat Abdelghany; Mohamed Abdelaal; Mohamed F Elhalawany; Ahmed R Zakaria
Journal:  Adv Orthop       Date:  2021-05-04
  7 in total

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