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KMID : 0621520120170030130
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Journal of the Korean Society for Surgery of the Hand
2012 Volume.17 No. 3 p.130 ~ p.136
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Osteosynthesis with Structural Bone Grafting and Plate-Screw Fixation for the Treatment of Forearm Bone Nonunion
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Park Ho-Youn
Yoon Jun-O
Jeon In-Ho
Kwon Jun
Kim Jin-Sam
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Abstract
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Purpose: We reported clinical results of autologous tricorticocancellous bone grafting and plate-screw fixation for
nonunion of the forearm bones.
Materials and Methods: Ten patients with nonunion of the forearm bones that underwent surgical treatment were
evaluated. Tricorticocancellous bone grafting which was harvested from the iliac crest and plate-screw fixation were
performed. Radiologic bone union was evaluated based on the simple radiographs. At the final follow-up, range of motion was measured and the Anderson scale was used for functional evaluation.
Results: Radiologic bone union was achieved in all cases. The mean range of motion was 139° of elbow flexion, 3° of flexion contracture, 73° of forearm pronation, 72° of supination, 70° of wrist flexion, and 70° of wrist extension. Anderson scale was excellent in 6 patients, satisfactory in three, and unsatisfactory in one.
Conclusion: Autologous tricorticocancellous bone grafting and rigid plate-screw fixation is a reliable method to
achieve successful healing of forearm bone nonunions.
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KEYWORD
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Forearm, Nonunion, Autologous tricorticocancellous bone graft, Plate-screw fixation
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