Journal of Hand Surgery
Volume 35, Issue 3 , Pages 406-411, March 2010

Congenital Pseudarthrosis of the Radius Treated With Gradual Distraction and Free Vascularized Fibular Graft: Case Report

Department of Orthopaedic Surgery, University of Ioannina School of Medicine, Ioannina, Greece

Received 4 June 2009; accepted 24 November 2009. published online 05 February 2010.

Only 18 cases of congenital radial pseudarthrosis have been reported in the English literature; of these, 4 have been treated with free vascularized fibular graft. We present a case of a 9-year-old female patient with neurofibromatosis type 1 who underwent gradual distraction through the pseudarthrosis site and subsequent vascularized fibular grafting for isolated congenital pseudarthrosis of her left radius and concomitant longitudinal and angular deformity of the wrist joint. At the last follow-up, 10 years postoperatively, the patient has maintained bony union, with full wrist flexion–extension and forearm pronation–supination.

Key words: Congenital pseudarthrosis, radius, free vascularized fibular graft, gradual distraction

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PII: S0363-5023(09)01057-0

doi:10.1016/j.jhsa.2009.11.022

Journal of Hand Surgery
Volume 35, Issue 3 , Pages 406-411, March 2010

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