The One Bone Forearm
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Updated: Dec 6, 2025

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
Published on: May 23, 2025
Brett Schiffman1, Douglas Hanel1
1Department of Orthopaedics and Sports Medicine, University of Washington, Box 359798, 908 Jefferson Street, Seattle, WA 98104, USA.
Abstract:
The one bone forearm is a salvage procedure for treatment of painful, instability of the forearm that results from trauma, congenital deformity, tumor, infection, and failed reconstructive efforts. By creating a stable osseous bridge between the ulnohumeral and radiocarpal joints, one bone forearm addresses defects in the bony architecture of the radius and ulna, their articulations, and their associated ligamentous complexes. Global instability of the forearm is a complex clinical pathology with few other answers. Choice of technique should be dictated by adjacent bone loss. This article presents experience with creating a one bone forearm in patients using synostosis procedures.
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