Centralization of ulna for infected nonunion of radius with extensive boneloss - A modified Hey-Groves procedure

We describe a case of infected nonunion of the radius with extensive bone l oss in an 11-year-old boy treated by centralization of the ulna. The techni que used differs from the original Hey Groves procedure in that it preserve s the distal end of the ulna with its important triangular fibrocartilage c omplex, thereby retaining stability and contour of the wrist joint. Our pat ient obtained a functionally and cosmetically satisfactory, stable forearm and wrist. We present the technique as a useful armament in the management of extensive bony defect of the radius arising from trauma or infection. (C ) 2000 Elsevier Science Ltd. All rights reserved.