Ulnocarpal arthrodesis for diffuse radial osteomyelitis by venous cannulation
Keywords:
ulnocarpal arthrodesis, diffuse radial osteomyelitis, venous cannulation.Abstract
Introduction: The single-bone forearm is used to reconstruct the limb when other options are not viable. The procedure sacrifices supination and pronation, but ensures a stable and painless forearm.
Objective: To validate ulnocarpal arthrodesis in a case of diffuse radial osteomyelitis.
Case report: The case of a 51-year-old woman with chronic diffuse osteomyelitis of the distal radius, secondary to cannulation of the cephalic vein, is reported. Two surgical cleanings were performed as initial treatment and once the infection was controlled, centralization of the ulna and ulnocarpal arthrodesis were performed.
Conclusions: Centralization of the ulna as a single bone and ulnocarpal arthrodesis constitute rescue techniques in distal radius infections with extensive bone loss.
Downloads
References
Hey-Groves E. Modern methods of treating fractures. 2 ed. Bristol, United Kingdom: John Wright; 1921. p. 320-3.
Montes C, Requena FM, Delgado MA, Cardona JR, López EM. Tratamiento de los defectos óseos en osteomielitis de radio distal mediante centralización del cúbito. Rev Soc And Traumatol Ort. 2021 [acceso 15/12/2022];38(1):51-8. Disponible en: http://revista.portalsato.es/index.php/Revista_SATO/article/view/168
Devendra A, Velmurugesan P, Dheenadhayalan J, Venkatramani H, Sabapathy S, Rajasekaran S. One-bone forearm reconstruction. A salvage solution for the forearm with massive bone loss. J Bone Joint Surg Am. 2019;101(15):e74. DOI: https://doi.org/10.2106/jbjs.18.01235
Zamir M, Taufiq I, Farooq M. One bone forearm: a valid option for treating post infection bone deficiencies. J Ayub Med Coll Abbottabad. 2019 [acceso 15/12/2022];31(3):472-3. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31535533/
Tuzi I, Chahidi N, Drossos K. Salvage procedure salvaged by external fixation: a case report. J Orthop Surg Tech. 2020;3(1):120-2. DOI: https://doi.org/10.36959/453/533
Agrawal A. Single bone forearm for chronic osteomyelitis of lower third radius. J Orthop Traumatol Rehabil. 2017;9(2):124. DOI: http://dx.doi.org/10.4103/jotr.jotr_31_17
Yang J, Yao J, Wu Z, Zeng D, Zheng L, Chen D, et al. Current opinions on the mechanism, classification, imaging diagnosis and treatment of post-traumatic osteomyelitis. Chin J Traumatol. 2021;24(6):320-7. DOI: https://doi.org/10.1016/j.cjtee.2021.07.006
Sybenga A, Jupiter D, Speights V, Rao A. Diagnosing osteomyelitis: a histology guide for pathologists. J Foot Ankle Surg. 2019;59(1):75-85. DOI: https://doi.org/10.1053/j.jfas.2019.06.007
Ingall E, Bernstein D, Shoji M, Merchan N, Harper CM, Rozental TD. Using the QuickDASH to model clinical recovery trajectory after operative management of distal radius fracture. JHS GO. 2020;3(1):1-6. DOI: https://doi.org/10.1016/j.jhsg.2020.10.001
Peterson C, Maki S, Wood M. Clinical results of the one-bone forearm. J Hand Surg Am. 1995;20(4):609-18. DOI: https://doi.org/10.1016/S0363-5023(05)80277-1
Schiffman B, Hanel D. The one bone forearm. Hand Clin. 2020;36(4):531-8. DOI: https://doi.org/10.1016/j.hcl.2020.07.007
Wang Y, Zhou M, Wu Y, Ma Y, Liu J, Rui Y. One-bone forearm reconstruction and distal radioulnar joint fusion for emergency one-stage operation in traumatic major bone defect of forearm. Injur. 2020;51(8):1828-33. DOI: https://doi.org/10.1016/j.injury.2020.06.024
Tiourin E, Kanack M, Ng W, Leis A. Mucor osteomyelitis of the distal radius necessitating ulnocarpal fusion. Cureus. 2021;13(1):e12813. DOI: https://doi.org/10.7759/cureus.12813
Straussberg R, Harel L, Bar-Sever Z, Amir J. Radial osteomyelitis as a complication of venous cannulation. Arch Dis Child. 2001;85(5):408-10. DOI: https://doi.org/10.1136/adc.85.5.408
Salameh M, Shatarat AT, Badran DH, Abu MA, Kanaan TM, Bani-Hani AM, et al. Revisiting the anatomy of the cephalic vein, its origin, course and possible clinical correlations in relation to the anatomical snuffbox among Jordanian. Folia Morphol. 2020;80(2):344-51. DOI: https://doi.org/10.5603/fm.a2020.0048
García E, Collazos J, Cartón J, Camporro D, Asensi V. Bacterial osteomyelitis: microbiological, clinical, therapeutic, and evolutive characteristics of 344 episodes. Rev Esp Quimioter. 2018 [acceso 03/01/2023];31(3):217-25. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29756429/
Schachinger F, Pobatschnig B, Kranzl A, Stauffer A, Farr S. Outcomes of patients with single-bone- forearm surgery: a clinical assessment and three-dimensional motion analysis. J Hand Surg Eur Vol. 2019;44(8):838-44. Disponible en: https://doi.org/10.1177/1753193419852609
Benameur H, Bensaleh S, Alidrissi N, Jaafar A, Chahbouni M. Modified technique of single-bone forearm in the treatment of deformities. Cureus. 2022;14(6):e26361. DOI: https://doi.org/10.7759/cureus.26361
Kim SY, Chim H, Bishop AT, Shin A. Complications and outcomes of one-bone forearm reconstruction. Hand. 2017;12(2):140-4. DOI: https://doi.org/10.1177/1558944716643305
Multani I, Xu J, Manji J, Lawson RD, Graham DJ, Sivakumar B. The one-bone forearm: a review. HAND. 2022;19(1):12-23. DOI: https://doi.org/10.1177/15589447221084010
