Treatment of forearm diaphyseal defect by distraction compression bone transport and continued distraction for radial head reduction; a case study

Abstract Treatment of infected forearm nonunion and defects represent a difficult task for the operating surgeon, conventional methods like composite and vascularized fibular grafts and the induced membranes filled with cancellous autografts or the Masquelet technique are very useful and successful but sometimes difficult to predict outcome and cannot address simultaneous deformities or the need to apply gradual distraction for reduction of a chronically dislocated radial head, the Ilizarov technique have an answer for such conditions. We report a 43 years old man with infected ulnar defect and dislocated radial head as a result of infected Monteggia fracture the patient was successfully treated by ilizarov bone transport after failed attempts by bone spacer and fibular graft.