Isolated Infected Pseudoarthrosis of the Middle Third Radius Treated by Transosseous Osteosynthesis - Case Report

Isolated closed fractures of the middle third of the radius are extremely rare injuries in the pathology of forearm fractures. Treatment of infected pseudoarthrosis of the central part of the radius with or without bone defects is very demanding.We present the case of a 33 - year - old patient with an initial isolated closed fracture of the middle third of the radius created in a traffic accident. Initial the fracture was stabilized by the method of open fracture reduction and fixation (ORIF) with a dynamic compression plate (DCP). Six months afterstabilizationwere signs of infection, fistulization and pseudoarthrosis. After unsuccessful antibiotic therapypatient was admitted and underwent surgery to remove osteosynthetic material (OSM) and stabilize the fracture by transosseous osteosynthesis using the Ilizarov apparatus. Solid radius fusion was observed radiographically and clinically after removal. He wore protective plaster immobilization for another month after removing the device. Treatment of isolated fractures with pseudoarthrosisis very challenging. We believe that use of the apparatus according to Ilizarov in the treatment of these rare complications of radius injuries can contribute to the definitive solution of this problem.