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Journal of Case Reports
Infected Diaphyseal Non-union of Radius Managed with Fibular Graft and Intramedullary Fixation: Case Report on Simple Technique for Complex Case
Lavindra Tomar, Gaurav Govil, Pawan Dhawan 
Department of Orthopaedics, Max Super Speciality Hospital, 108 A, I.P. Extension, Patparganj, Delhi - 110092, India.
Corresponding Author:
Dr. Gaurav Govil
Email: gauravgovil@yahoo.co.in
Received: 07-JUL-2020 Accepted: 27-OCT-2020 Published Online: 25-DEC-2020
DOI: http://dx.doi.org/10.17659/01.2020.0070
Background: Management of infected gap non-union of forearm bones is a challenging task. Various methods of treatment available in the literature are cortical tibial graft, ulnar segment graft, iliac crest graft, cancellous insert graft, vascularized fibular graft, bone transport by ring fixator and Nicoll’s method with plating of iliac crest graft. Case Report: We report a complex case of infected non-union of radius managed with simple reconstruction of gap defect with a free non-vascularised fibular graft and supplemented by cortico-cancellous autologous bone graft. An intra-medullary wire was preferred over plating for fixation. At 18 months follow up, the patient is symptom free and is able to carry out the daily activities with ease. Conclusion: The procedure is economically viable and easily reproducible.
Keywords : Bone Fractures, Bone Transplantation, Bone Wires, Fibula, Forearm.
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