Background: Infected none of both forearm forearm is a rare complication but bears a brunt on patient and surgeon’s skill. Specific management protocols are lacking as each case is dealt individually.
Case: A seven year old male was presented as two months old case of fracture both bone forearm (L) which was managed conservatively elsewhere, with chief complaints of pain and high grade fever without discharging sinus. A two staged procedure was planned first with external fixator application (JESS) and then followed by radialisation of ulna.
Conclusions: Recent study reveals it is safer to saucerize the bone, remove sequestrum and unstable metal implants, combined with irrigation and renewal of rigid internal or external fixation as a first procedure and then to perform a bony procedure on a freshened pseudo-arthritic bed in a quiet period a few weeks later. Although this procedure leads to certain limitation of movements due to single bone construct but provides acceptable functional status along with cost effectiveness.
Kandarpa Yadav, Vineet Kumar and Ajai Singh