Vascularized Ulnar Periosteal Graft for the Treatment of Recalcitrant Nonunion of the Radius: Case Report

  • Gonzalo M. Viollaz Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0002-4573-883X
  • Rafael Durán Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0002-8789-3221
  • Diego J. Gómez Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0003-0258-6802
  • Álvaro Muratore Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0001-7540-7137
  • Alejandro Tedeschi Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0001-5704-3122
  • Gustavo Teruya Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina https://orcid.org/0000-0001-7342-1859
Keywords: Radius, nonunion, periosteal vascularized graft, induced- membrane technique

Abstract

There are many techniques described to achieve consolidation in the nonunion of long bones, including morselized cancellous or structural non-vascularized bone graft, vascularized bone graft, or the induced-membrane technique. In 2018, Barrera-Ochoa described the anatomy of a vascularized ulnar periosteal flap based on the posterior interosseous vascular axis and showed his initial experience using it on children to treat a radius atrophic nonunion and bone defect secondary to the exeresis of an Ewing Sarcoma. We present our experience with a vascularized ulnar periosteal graft for the treatment of a recalcitrant nonunion of the radius shaft in an adult patient.

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Author Biographies

Gonzalo M. Viollaz, Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Rafael Durán , Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Diego J. Gómez , Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Álvaro Muratore , Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Alejandro Tedeschi , Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Gustavo Teruya, Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina
Upper Limb Surgery Unit, Orthopedics and Traumatology Service, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

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Published
2023-04-24
How to Cite
Viollaz, G. M., Durán , R., Gómez , D. J., Muratore , Álvaro, Tedeschi , A., & Teruya, G. (2023). Vascularized Ulnar Periosteal Graft for the Treatment of Recalcitrant Nonunion of the Radius: Case Report. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 88(2), 208-217. https://doi.org/10.15417/issn.1852-7434.2023.88.2.1544
Section
Case Presentations

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