Intramedullary Wire-Guided Bone Transport of the Ulna: A Case Report

Diaphyseal bone defects of the forearm may arise from high-energy trauma, the surgical excision of devitalised or contaminated bone in open fractures, tumour resection, or extensive debridement for infected non-unions. These defects pose a considerable challenge in trauma and orthopaedic surgery due to the complexity of restoring limb function and structural integrity. Distraction osteogenesis, particularly via the Ilizarov technique, has become a preferred method among orthopaedic surgeons, owing to its advantages, including preservation of soft tissue, reduced infection risk, and the ability to maintain joint mobility during treatment. This case report demonstrates the successful application of the bone transport technique via distraction osteogenesis using a mini limb reconstruction system (LRS) external fixator in the management of an open diaphyseal forearm fracture with bone loss, resulting in favourable radiological bone healing and excellent functional recovery.