Forearm Nonunion: Characterization and Management

Adult forearm nonunion should be investigated prior to developing a treatment strategy: “Why did the fracture not heal?” Optimizing the patient’s biology and the stability at the nonunion site are critical for a successful outcome. This review concisely discusses the initial work-up, including history, physical examination, imaging, and laboratory testing, as well as available su rgical techniques—irrigation and debridement with deep cultures, revision open reduction internal fixation with or without biological adjuvant therapies, cancellous autograft, tricortical iliac crest, reamer/irrigator/aspirator, allograft, vascularized free-fibula and induced-membrane technique.
Source: The Journal of Hand Surgery - Category: Surgery Authors: Tags: Current Concepts Source Type: research