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[One-bone forearm operation for defective ulna osteomyelitis: a case report].
Lokman Karakurt1, Erhan Yilmaz, Mehmet Bulut
1Furat Universitesi Tip Fakültesi Ortopedi ve Travmatoloji Anabilim Dali, Elazig. lkarakurt@hotmail.com
Acta Orthopaedica Et Traumatologica Turcica
|March 26, 2003
Summary
A pediatric one-bone forearm surgery for ulna osteomyelitis resulted in forearm instability. Despite a 3 cm shortening and delayed union, the surgery ultimately achieved a stable, functional forearm, allowing the patient to use their fingers.
Area of Science:
- Pediatric Orthopedics
- Limb Reconstruction Surgery
- Osteomyelitis Treatment
Background:
- Forearm instability in children can result from conditions like ulna osteomyelitis.
- Surgical intervention is sometimes necessary to address severe instability and malunion.
- The one-bone forearm technique aims to stabilize the limb by creating a synostosis.
Observation:
- A four-year-old boy presented with forearm instability due to defective ulna osteomyelitis.
- The patient underwent a one-bone forearm operation in a neutral supination-pronation position.
- Post-operative follow-up revealed significant forearm shortening and delayed union.
Findings:
- Despite radiographic evidence of delayed union and 3 cm of shortening, the forearm achieved stability.
- The surgical outcome was functional, enabling the patient to utilize their fingers effectively.
- The one-bone forearm procedure, even with complications, led to a usable limb.
Implications:
- The one-bone forearm technique can yield functional results in pediatric cases of ulna osteomyelitis, even with complications.
- Forearm shortening and delayed union may not preclude a stable and functional outcome post-surgery.
- This case highlights the potential for limb salvage and functional recovery in complex pediatric orthopedic cases.