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2020•Journal of OrthopaedicsOpen access

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

Rocco De Vitis, Marco Passiatore, Vitale Cilli, Jacopo Maffeis, Giuseppe Milano, Giuseppe Taccardo

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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.

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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.

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Available 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.

Key concepts: Intramedullary rod, Medicine, Forearm, Non union, Ulna, Surgery, Bone healing, Bone grafting

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Intramedullary nailing for treatment of forearm non-union: Is it useful? – A case series — Research Paper | ScholarLens