Proximal ulna reconstruction for traumatic bone loss

Serious injuries of the elbow with of bone loss of the proximal ulna or of the two bones of the forearm may result in a loss of function in flexion-ex tension and pronation supination with painful instability of the elbow. The treatment of these functional sequelae is difficult because it must reesta blish the mobility and the stability of the elbow. We report three cases of post-traumatic loss of the proximal quarter of the ulna. In two cases, the radius was intact and we transferred the proximal radius according to Youn g's method modified by Piollet. In the third case, the loss of the proximal extremity of the two bones of the forearm was treated with the transfer of the proximal extremity of the fibula. By means of these techniques, our th ree patients had very satisfying functional results as evaluated at 18 year s, 18 months and 17 years follow-up respectively.