[Treatment methods for complications of forearm diaphyses fractures, first stabilized with plates]

A short series 8 patients with complications and failures of forearm shafts fractures treated with screws and plates was analysed. There were 2 pseudoarthroses of ulna, delayed union of radial shafts in 4 cases in which 2 had plates loosening. The additional 2 patients had the refractures of radius shortly after metal removal. The intraoperative investigation presented that main cause of delayed unions and pseudoarthroses was insufficient blood supply to the bony ends due to circulation destruction during plates implantation. All 8 patients had finally obtained union after second stage procedure. It was consisted of plates and screws removal, refreshing of fragments ends, cancerous auto grafts implantation and plaster cast immobilization. Intramedullary stabilization with Rush pins was performed in 6 patients. The additional 2 had such wide bone destruction after primary plates stabilization that intramedullary fixation was risky.