Nonunion of Fractures of the Ulna and Radius Diaphyses: Clinical and Radiological Results of Surgical Treatment
Aseptic nonunion of the radius and ulna is a major complication of forearm fractures, accounting for 2% to 10% of all forearm fractures. The aim of our study is to evaluate the functional and radiological results of surgical treatment of diaphyseal aseptic nonunion of the radius and ulna, with autol...
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doaj-13b70d40d74e489aa59cf6125e0438e32021-05-02T12:53:59ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332016-07-011022734http://dx.doi.org/10.5704/MOJ.1607.006Nonunion of Fractures of the Ulna and Radius Diaphyses: Clinical and Radiological Results of Surgical TreatmentBoussakri H0Elibrahimi A1Bachiri M2Elidrissi M3Shimi M4PrPrPrPrPrAseptic nonunion of the radius and ulna is a major complication of forearm fractures, accounting for 2% to 10% of all forearm fractures. The aim of our study is to evaluate the functional and radiological results of surgical treatment of diaphyseal aseptic nonunion of the radius and ulna, with autologous bone grafting, decortication and internal plate fixation. A series of 21 patients (26 nonunions) was retrospectively reviewed, the average age was 35 years with a mean of 31,58 years (range 12-44 years) . The fractures included isolated radius (n=6) and ulna (n=10), and both radius and ulna (n=5). The Grace and Eversmann score was used to evaluate our results. Fifteen had very good results, five good and one average. Consolidation of the two bones was attained in 6.2 months. Therefore, the functional prognosis of the upper limb imposes the need for an adequate treatment. This management strategy has enabled us to have satisfactory results. However, the best treatment of nonunion remains the preventive treatment with an optimal management and care of the forearm fractures.http://morthoj.org/2016/v10n2/ulna-and-radius-diaphyses.pdfRadius and ulnadiaphyseal fracturenonunion |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Boussakri H Elibrahimi A Bachiri M Elidrissi M Shimi M |
spellingShingle |
Boussakri H Elibrahimi A Bachiri M Elidrissi M Shimi M Nonunion of Fractures of the Ulna and Radius Diaphyses: Clinical and Radiological Results of Surgical Treatment Malaysian Orthopaedic Journal Radius and ulna diaphyseal fracture nonunion |
author_facet |
Boussakri H Elibrahimi A Bachiri M Elidrissi M Shimi M |
author_sort |
Boussakri H |
title |
Nonunion of Fractures of the Ulna and Radius Diaphyses: Clinical and Radiological Results of Surgical Treatment |
title_short |
Nonunion of Fractures of the Ulna and Radius Diaphyses: Clinical and Radiological Results of Surgical Treatment |
title_full |
Nonunion of Fractures of the Ulna and Radius Diaphyses: Clinical and Radiological Results of Surgical Treatment |
title_fullStr |
Nonunion of Fractures of the Ulna and Radius Diaphyses: Clinical and Radiological Results of Surgical Treatment |
title_full_unstemmed |
Nonunion of Fractures of the Ulna and Radius Diaphyses: Clinical and Radiological Results of Surgical Treatment |
title_sort |
nonunion of fractures of the ulna and radius diaphyses: clinical and radiological results of surgical treatment |
publisher |
Malaysian Orthopaedic Association |
series |
Malaysian Orthopaedic Journal |
issn |
1985-2533 |
publishDate |
2016-07-01 |
description |
Aseptic nonunion of the radius and ulna is a major complication of forearm fractures, accounting for 2% to 10% of all forearm fractures. The aim of our study is to evaluate the functional and radiological results of surgical treatment of diaphyseal aseptic nonunion of the radius and ulna, with autologous bone grafting, decortication and internal plate fixation. A series of 21 patients (26 nonunions) was retrospectively reviewed, the average age was 35 years with a mean of 31,58 years (range 12-44 years) . The fractures included isolated radius (n=6) and ulna (n=10), and both radius and ulna (n=5). The Grace and Eversmann score was used to evaluate our results. Fifteen had very good results, five good and one average. Consolidation of the two bones was attained in 6.2 months. Therefore, the functional prognosis of the upper limb imposes the need for an adequate treatment. This management strategy has enabled us to have satisfactory results. However, the best treatment of nonunion remains the preventive treatment with an optimal management and care of the forearm fractures. |
topic |
Radius and ulna diaphyseal fracture nonunion |
url |
http://morthoj.org/2016/v10n2/ulna-and-radius-diaphyses.pdf |
work_keys_str_mv |
AT boussakrih nonunionoffracturesoftheulnaandradiusdiaphysesclinicalandradiologicalresultsofsurgicaltreatment AT elibrahimia nonunionoffracturesoftheulnaandradiusdiaphysesclinicalandradiologicalresultsofsurgicaltreatment AT bachirim nonunionoffracturesoftheulnaandradiusdiaphysesclinicalandradiologicalresultsofsurgicaltreatment AT elidrissim nonunionoffracturesoftheulnaandradiusdiaphysesclinicalandradiologicalresultsofsurgicaltreatment AT shimim nonunionoffracturesoftheulnaandradiusdiaphysesclinicalandradiologicalresultsofsurgicaltreatment |
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