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De Vitis R, Passiatore M, Cilli V, et al. Intramedullary nailing for treatment of forearm non-union: Is it useful? - A case series. J Orthop. 2020;20:97-104doi: 10.1016/j.jor.2020.01.011.
De Vitis, R., Passiatore, M., Cilli, V., Maffeis, J., Milano, G., & Taccardo, G. (2020). Intramedullary nailing for treatment of forearm non-union: Is it useful? - A case series. Journal of orthopaedics, 2097-104. https://doi.org/10.1016/j.jor.2020.01.011
De Vitis, Rocco, et al. "Intramedullary nailing for treatment of forearm non-union: Is it useful? - A case series." Journal of orthopaedics vol. 20 (2020): 97-104. doi: https://doi.org/10.1016/j.jor.2020.01.011
De Vitis R, Passiatore M, Cilli V, Maffeis J, Milano G, Taccardo G. Intramedullary nailing for treatment of forearm non-union: Is it useful? - A case series. J Orthop. 2020 Jan 10;20:97-104. doi: 10.1016/j.jor.2020.01.011. eCollection 2020. PMID: 32025132; PMCID: PMC6997666.
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J Orthop. 2020 Jan 10;20:97-104. doi: 10.1016/j.jor.2020.01.011. eCollection 2020.

Intramedullary nailing for treatment of forearm non-union: Is it useful? - A case series.

Journal of orthopaedics

Rocco De Vitis, Marco Passiatore, Vitale Cilli, Jacopo Maffeis, Giuseppe Milano, Giuseppe Taccardo

Affiliations

  1. Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.
  2. Università Cattolica del Sacro Cuore, Roma, Italy.
  3. Istituto di Clinica Ortopedica, Italy.
  4. Centre Hôpitalier de la Haute Senne, Soignies, Belgium.
  5. Università degli studi di Brescia, Italy.

PMID: 32025132 PMCID: PMC6997666 DOI: 10.1016/j.jor.2020.01.011

Abstract

INTRODUCTION: Intramedullary osteosynthesis is often considered a second-order method for treatment of forearm non-union.

METHODS: We evaluated clinical and functional results from 49 patients affected by radio and/or ulna non-union treated using intramedullary nailing, with possible tricortical autologous bone grafting. Healing rate (primary outcome), healing time and functional status have been assessed.

RESULTS: Healing was observed in 46 cases (93.9%), the average healing time was 6.3 (SD ± 2.5) months. Excellent result (Anderson score) was reached in 38 cases (77.6%), satisfactory in 7 cases (14.3%).

CONCLUSIONS: Forearm non-unions represent a therapeutic challenge. Intramedullary nailing is a successful option of treatment.

© 2020 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.

Keywords: Bone graft; Forearm non-union; Forearm pseudarthrosis; Intramedullary nailing; Non-union; Radius; Ulna

Conflict of interest statement

The authors report no conflicts of interest.

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