[Osteoplastic correction of defects of the forearm bones]

The author has used an improved two-stage method of autoplasty in 27 patients mainly with posttraumatic bone defects of the forearm in the conditions of latent infection. Preliminary longitudinal distraction of the fragments allowed to reconstruct distal radioulnar syndesmosis and simultaneous transversal traction of the fragments extended the interosseal space. At the second stage it allowed to carry out surgical treatment of the deformed avascular ends of the fragments in optimal conditions and to adequately replace the defect by a self-fixing figure autograft from the tibial crest which was modelled according to the shapes and to the form of the lost segment of the radius or of the ulna. The long-term results were positive.