Management of Aseptic Both Bone Forearm Diaphyseal Gap Nonunion

Abstract

Abstract Aseptic nonunions of both bone forearm fractures present significant challenges in treatment, often requiring specialized surgical intervention. This case report provides an overview of the prevalence, etiology, and surgical considerations in managing such nonunions. This case report presents a 51 year old male with both bone forearm diaphyseal nonunion following a road traffic accident, managed with iliac crest and nonvascularized fibular bone grafting. Surgical intervention involved debridement, gap bridging with fibular strut graft, and stabilization with plate. Aseptic both bone forearm nonunions disrupt mechanics, leading to functional impairment. Surgical management aims at maintaining radial length, joint function, and avoiding positive ulnar variance. Treatment involves debridement, alignment correction, bone grafting, and may include vascularized fibular grafting or the Ilizarov method, while nonvascularized fibula strut grafts provide a favorable alternative with low complication rates. The case report demonstrates successful management of aseptic both bone forearm diaphyseal nonunion using nonvascularized fibular strut graft, resulting in excellent functional outcomes without complications. The efficacy and feasibility of this treatment approach in achieving union and restoring forearm function is highlighted.