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Long-term follow-up of the one-bone forearm procedure
S J Lee1, L M Jazrawi, B C Ong
1Lenox Hill Hospital, New York, New York, USA.
American Journal of Orthopedics (Belle Mead, N.J.)
|January 5, 2001
Summary
The one-bone forearm procedure offers a successful salvage option for severe forearm instability when other treatments fail. This surgical technique restored function in a patient with bone loss after osteomyelitis, with positive long-term outcomes.
Area of Science:
- Orthopedic Surgery
- Limb Reconstruction
- Trauma Surgery
Background:
- Forearm instability and bone loss present significant challenges in orthopedic surgery.
- Salvage procedures are necessary when standard treatments for irreparable bone defects are insufficient.
- Osteomyelitis can lead to extensive bone loss and functional impairment, requiring complex reconstructive options.
Observation:
- A case study involving a patient with a dysfunctional arm due to radical ulna débridement following osteomyelitis.
- The patient presented with irreparable instability and significant bone loss in the forearm.
Findings:
- Successful treatment of forearm instability and bone loss using the one-bone forearm procedure.
- The patient experienced functional recovery and maintained stability over an 8-year follow-up period.
- This procedure served as a viable salvage option for a complex orthopedic case.
Implications:
- The one-bone forearm procedure is a valuable reconstructive technique for selected patients with severe forearm instability and bone loss.
- This approach can restore limb function and stability in cases previously deemed irreparable.
- Long-term follow-up confirms the durability and efficacy of the one-bone forearm procedure as a salvage option.