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Case Reports in Orthopedics
Volume 2017 (2017), Article ID 9672126, 4 pages
https://doi.org/10.1155/2017/9672126
Case Report

Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer

1First Department in Orthopaedics and Trauma Surgery, Georgios Papanikolaou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
2Department in Orthopaedics and Trauma Surgery, Agios Pavlos General Hospital, Thessaloniki, Greece
3Second Department in Orthopaedics and Trauma Surgery, G. Gennimatas General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece

Correspondence should be addressed to Konstantinos Ditsios; rg.teneto@ksoistid

Received 18 January 2017; Accepted 18 June 2017; Published 20 July 2017

Academic Editor: Zbigniew Gugala

Copyright © 2017 Konstantinos Ditsios et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Infected nonunion of a forearm fracture complicated by a considerable skin-muscle defect poses a great challenge to orthopaedic surgeons. The treatment strategy comprises eradication of the infection, ensuring bony union and soft tissue coverage along with functional restoration. We report a case of a 23-year-old man with an open Gustilo-Anderson IIIb fracture complicated by infected nonunion after internal fixation. After thorough surgical debridement, a considerable soft tissue defect, extensor muscle loss, and posterior interosseous nerve laceration had to be addressed. He was finally treated with bone transportation and bone lengthening followed by tendon transfers.