Single Bone Forearm Procedure for Treatment of Radius and Ulna Pseudarthrosis Associated with Proximal Radial Luxation

Abstract

The upper limb unctionality depends on a series of musculoskeletal, bone, nervous and vascular structures, which work together to be able to give, among other functions, an adequate point of support, vitality and spatial location, in the last term, to operate the hand.

Forearm injuries can cause function to be lost or the patient to suffer a great functional deficit, chronic pain, and decreased quality of life. Thus, severe pathologies such as exposed fractures, infections, sequelae deformities, can severely affect the forearm. Some of them present a challenge when considering a reconstructive procedure

The single arm surgical procedure is used when conventional protocols have failed or whose pathology implies a possible amputation of the limb; In this, a surgery is performed by which a severely injured ulna and radius are used to obtain a single bone which can regain the shape and functionality of the forearm. It’s a very useful tool to treat serious injuries, reducing the risk of amputations as a definitive option and returning partial functionality to the affected patient.

There is little information on these procedures because it is a final option, which is considered as there are no other alternatives and in which the limb can be preserved, generally having as a precedent, having exhausted other corrective procedures or an evolution of incorrigible pathology by other means.