Reconstruction of posttraumatic disorders of the forearm

Forearm rotation is crucial for full upper extremity mobility. The two-bone unit with its proximal and distal radioulnar joints should be considered as a single bicondylar articulation. After a traumatic bony forearm injury, surgical treatment for complications, such as deformity, bone loss, or failed fracture healing is challenging because complete return of forearm rotation can be difficult to achieve. It is important to be aware of methods for assessing and managing posttraumatic forearm bony complications, including preoperative assessment and osteotomy techniques for malunited fractures. The vascularized fibular transplant also has been proven as an effective treatment method. Although nonunion of forearm fractures is uncommon, it can prove problematic; therefore, it is beneficial to review options for surgical management.