Congenital pseudarthrosis of both forearm bones: Long-term results of two cases managed by free vascularized fibular graft

We analyzed the clinical and radiographic outcome of 2 cases of congenital pseudarthrosis of both forearm bones managed by free vascularized fibular g rafts. The follow-up periods were 17 and 13 years, respectively. The first patient, a 4-year-old girl, had reconstruction of both the radius and ulna by a vascularized fibular graft, restoring pronation/supination to 110 degr ees. The second patient, a 17-year-old boy, underwent a 1-bone forearm proc edure using a vascularized fibular graft. After surgery, he had a stable fo rearm that was shortened by approximately 15 cm. In these 2 cases of congen ital pseudarthrosis of both forearm bones, bone union was obtained by means of vascularized fibular graft. Copyright (C) 1999 by the American Society for Surgery of the Hand.