J Reconstr Microsurg 2006; 22(3): 143-148
DOI: 10.1055/s-2006-939958
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Two-Stage Reconstruction in Congenital Pseudarthrosis of the Forearm Using the Ilizarov Technique and Vascularized Osteoseptocutaneous Fibula

Musa Mateev1 , Arstan Imanaliev1
  • 1Department of Plastic and Reconstructive Microsurgery and Hand Surgery, National Hospital of Kyrgyzstan, Bishkek, Kyrgyzstan
Further Information

Publication History

Accepted: December 1, 2005

Publication Date:
06 July 2006 (online)

ABSTRACT

The authors present nine patients with congenital pseudarthrosis of the forearm. The reconstruction was carried out in two stages. At the first stage, Ilizarov's device was applied to the forearm in order to lengthen the affected extremity and to eliminate deformity. At the second stage, the bone defect was replaced a with free vascularized fibula osteoseptocutaneous graft. All patients had complete survival of the transferred fibula grafts. Bone consolidation was achieved in 4 to 6 months after the reconstruction.

REFERENCES

  • 1 Bell D F. Congenital forearm pseudarthrosis: report of six cases and review of the literature.  Pediatr Orthop. 1989;  9 438-443
  • 2 Cheng J C, Hung L K, Bundoc R C. Congenital pseudarthrosis of the ulna.  J Hand Surg Br. 1994;  19 238-243
  • 3 Younge D, Arford C. Congenital pseudarthrosis of the forearm and fibula. A case report.  Clin Orthop. 1991;  265 277-279
  • 4 Wood V E. Congenital pseudarthrosis of the forearm. In: Greens Operative Hand Surgery. Churchill Livingstone, New York; 1999: 544-551
  • 5 Ostrowski D M, Eilert R E, Waldstein G. Congenital pseudarthrosis of the ulna: a report of two cases and a review of the literature.  J Pediatr Orthop. 1985;  5 463-467
  • 6 Ramelli G P, Slongo T, Tschappeler H, Weis J. Congenital pseudarthrosis of the ulna and radius in two cases.  Pediatr Surg Int. 2001;  17 239-241
  • 7 Sellers D S, Sowa D T, Moore J R, Weiland A J. Congenital pseudarthrosis of the forearm.  J Hand Surg Am. 1988;  13 89-93
  • 8 Allieu Y, Gomis R, Yoshimura M, Dimeglio A, Bonnel F. Congenital pseudarthrosis of the forearm - two cases treated by free vascularized fibular graft.  J Hand Surg Am. 1981;  6 475-481
  • 9 Allieu Y, Meyer zu Reckendorf G, Chammas M, Gomis R. Congenital pseudarthrosis of both forearm bones: long-term results of two cases managed by free vascularized fibular graft.  J Hand Surg Am. 1999;  24 604-608
  • 10 Masterson E, Earley M J, Stephens M M. Congenital pseudarthrosis of the ulna treated by free vascularized fibular graft: a case report and review of methods of treatment.  J Hand Surg Br. 1993;  18 285-288
  • 11 Mathoulin C, Gilbert A, Azze R G. Congenital pseudarthrosis of the forearm: treatment of six cases with vascularized fibular graft and a review of the literature.  Microsurgery. 1993;  14 252-259
  • 12 Minami A, Kaneda K, Itoga H, Usui M. Free vascularized fibular grafts.  J Reconstr Microsurg. 1989;  5 37-43
  • 13 Witoonchart K, Uerpairojkit C, Leechavengvongs S, Thuvasethakul P. Congenital pseudarthrosis of the forearm treated by free vascularized fibular graft: a report of three cases and a review of the literature.  J Hand Surg Am. 1999;  24 1045-1055

Musa MateevM.D. Ph.D. 

Moscovskaya Street 217, Office 1

Bishkek 720010, Kyrgyzstan

    >