La reconstruction des pertes de substance osseuse de l'avant-bras par cubitalisation du radius (one bone forearm). A propos de six observations.
(1996) Annales de Chirurgie de la Main et du Membre Superieur — Vol. 15, n° 4, p. 199-211 (1996)
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- Abstract
- Extensive forearm bone loss, whatever its etiology, presents a difficult reconstruction problem. This is mainly the case in the presence of lesions of the interosseous membrane associated with the radio-ulnar joint. When preservation of forearm rotation is not possible, cubitalization of the radius and reconstruction of the forearm by creation of a "one bone forearm" seems to be an excellent salvage technique both functionally and cosmetically. Our experience concerns six clinical cases; two of these cases are original and give the authors the opportunity to describe a new reconstructive technique of the distal humerus and elbow by vascularized transfer of the radius onto the radial artery (with a cutaneo-osseous transfer in one case). The etiology of the bone defect included severe trauma in three cases, and a Volkman's syndrome complicated by osteomyelitis in one case. Two cases represent an original technique of reconstruction of the distal humerus by a vascularised transfer of the radius onto the radial artery. Forearm reconstruction is performed by cubitalization of the radius. The etiology was traumatic in one case and neoplastic in another, and a cutaneo-osseous transfer was performed in the latter case. In this difficult problem of bone reconstruction, a favorable functional and cosmetic result was obtained in our series.
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Bessy, H., Leemrijse, T., Cadot, B., Touam, C., & Oberlin, C. (1996). La reconstruction des pertes de substance osseuse de l’avant-bras par cubitalisation du radius (one bone forearm). A propos de six observations. Annales de Chirurgie de la Main et du Membre Superieur, 15(4), 199-211. https://hdl.handle.net/2078.5/134664 (Original work published 1996)