Management of Forearm Nonunion

Reza Shahryar Kamrani; Mahmoud Farzan; Mohammad Sadeghian; Arash Farhoud; Mahsa Akhtarzadeh; Mitra Ashrafi; Amir Reza Farhoud

doi:10.18502/jost.v8i4.10448

Reza Shahryar Kamrani Professor, Department of Orthopedics, School of Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
Mahmoud Farzan Professor, Department of Orthopedics, School of Medicine, Joint Reconstruction Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
Mohammad Sadeghian Orthopedic Surgeon, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Arash Farhoud Medical Student, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Mahsa Akhtarzadeh Resident, Department of Orthopedics, School of Medicine, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran Iran
Mitra Ashrafi General Practitioner, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Amir Reza Farhoud Assistant Professor, Department of Orthopedics, School of Medicine, Joint Reconstruction Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jost.v8i4.10448

Keywords: Forearm; Bone Fractures; Fracture Healing; Treatment

Abstract

Forearm nonunion is rare but a possible complication after standard treatment of the fracture of radius and ulna. The importance of precise restoration of length and anatomical relationship of both bones are among usual concerns. The situation is more complex when the infection is present in the union site. The several techniques have been applied to manage forearm nonunion consisting of osteosynthesis and using cancellous autograft, allograft, nonvascularized fibular graft, fibular flap, bone transport, induced membrane (Masquelet technique), and pedicled flap such as posterior interosseous and radial forearm bone flap (RFBF). Reviewing the recent studies focusing on treating forearm nonunion is the purpose of this review.