caa a22 4500 463210239 CHVBK 20180405153138.0 cr unu---uuuuu 170326e20070401xx s 000 0 eng 10.1007/s00238-006-0084-8 doi (NATIONALLICENCE)springer-10.1007/s00238-006-0084-8 Reconstruction of the wrist pseudoarthrosis due to radioulnar fractures with vascularized fibular graft in a child with neurofibromatosis [Elektronische Daten] [Mehmet Yenidunya, Mustafa Demirseren, Serdar Gorkem, Bulent Tasbas, Candemir Ceran] Nonunion in the forearm following a radioulnar fracture is one of the nightmares of the orthopedic surgeon. Fortunately, it is rare. We treated a large bone defect of the forearm, using a vascularized fibular graft after excision of the unhealed bone segment in a 10-year-old boy with neurofibromatosis. This situation followed a double fracture that had been operated on several times using conventional methods. Following the debridement of the unhealthy tissues in the pseudoarthrotic region, the vascularized fibula was placed on the dorsal surface of the proximal radius fragment. The distal fragment of the radius was inserted into the fibular cavity and fixation was established with a Kirschner wire distally and with a plate proximally. Only two screws were used to fix the plate. The peroneal artery was anastomosed with the radial artery; one of its venae comitantes was anastomosed with the cephalic vein in an end-to-end fashion. After surgery, the elbow was immobilized at 90 degrees of flexion with a splint for 6weeks. One year after surgery, forearm stabilization and elbow and hand functions were very satisfactory. However, because the distal epiphyses of the bones were destroyed following the repeated surgery and the original trauma itself, a very prominent difference between the two forearms occurred, suggesting the need for bone lengthening in the future. By presenting this case we would like to conclude that one can expect good bone healing with a vascularized bone transfer in these cases when there is not enough space to place screws, but support can be provided by an external splint and K wire. Springer-Verlag, 2007 Forearm nonunion nationallicence Children nationallicence Vascularized fibular graft nationallicence Neurofibromatosis nationallicence Yenidunya Mehmet Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk Teaching and Research Hospital, Ankara, Turkey aut Demirseren Mustafa Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk Teaching and Research Hospital, Ankara, Turkey aut Gorkem Serdar Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk Teaching and Research Hospital, Ankara, Turkey aut Tasbas Bulent Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk Teaching and Research Hospital, Ankara, Turkey aut Ceran Candemir Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk Teaching and Research Hospital, Ankara, Turkey aut European Journal of Plastic Surgery Springer-Verlag 29/7(2007-04-01), 327-330 0930-343X 29:7<327 2007 29 238 https://doi.org/10.1007/s00238-006-0084-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00238-006-0084-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yenidunya Mehmet Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk Teaching and Research Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Demirseren Mustafa Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk Teaching and Research Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Gorkem Serdar Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk Teaching and Research Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Tasbas Bulent Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk Teaching and Research Hospital, Ankara, Turkey aut NATIONALLICENCE 700 1- Ceran Candemir Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk Teaching and Research Hospital, Ankara, Turkey aut NATIONALLICENCE 773 0- European Journal of Plastic Surgery Springer-Verlag 29/7(2007-04-01), 327-330 0930-343X 29:7<327 2007 29 238 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer