PMC7708772_01
X-ray showing pseudarthrosis of the ulna and the radius.
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A 10-year-old boy presented with a problem of failure to consolidate his both bone forearm fracture that had been treated with cast immobilization (Fig. 1).
MRI of the forearm showing a pathological tissue in the Radius and the Ulna.
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MRI was performed showing pathological tissue in the Radius and the Ulna (Fig. 2).
Resection of pathologic tissue.
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The first stage consists of excision of the pseudarthrosis (Fig. 3) until visualization of normal bleeding bone in both proximal and distal ends of the bone.
X-Ray after the first procedure of the Induced membrane.
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The stabilization is done by plate with interlocking screws in the radius and k-wire in the ulna (Fig. 4).
Exposition of the induced membrane.
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After that, in the supine position the forearm was approached through the prior incisions and the cement is carefully removed taking precautions to not injure or disturb the induced membrane (Fig. 5).
X-Ray after 7months showing union of the pseudarthrosis.
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Solid union was achieved after 7 months (Fig. 6) and he had a full range of motion of the elbow 0  of extension and 120  of flexion, and a mild limitation in the prono-supination 45 /45  of the forearm.
X-Ray after removing the plate and the plate and the K-wire.
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The K-Wire and the plate were removed 18 months later (Fig. 7).