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The Single-Bone Forearm—A Reconstructive Technique

The Single-Bone Forearm—A Reconstructive Technique


The Single-bone F o r e a r m - - a Reconstructive T e c h n i q u e - - R o b e r t L. Reid and George 1. Baker THE SINGLE-BONE FOREARM--A RECONSTRUCTIVE TECHNIQUE R O B E R T L. R E I D and G E O R G E I. B A K E R , Washington, D.C. Indications for an operation designed to obliterate pronation and supination in a forearm are limited. Ideally, when considering forearm reconstruction following trauma, infection or excision of tumours, the following goals are considered to be important: (1) All wounds healed, with adequate skin cover and with satisfactory distal circulation. (2) Hand sensation intact or expected to recover following nerve repair. (3) Length and stability of the forearm bones sufficient to place the hand in position to function with dexterity. (4) A hand that is functioning or that can be expected to do so after splinting and selective reconstruction. (5) A functional degree of elbow and wrist motion and forearm pronation and supination. (6) Finally, the accomplishment of these reconstructive goals in such a fashion that the number of admissions and procedures
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