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Case Reports
. 2015 Feb;9(2):RD01-2.
doi: 10.7860/JCDR/2015/10806.5528. Epub 2015 Feb 1.

Infected Gap Non Union of Radius Treated with Modified Nicoll's Technique-A Case Report

B S S Venkateswarlu  1 , C J Manikumar  2
Affiliations
Case Reports

Infected Gap Non Union of Radius Treated with Modified Nicoll's Technique-A Case Report

B S S Venkateswarlu et al. J Clin Diagn Res. 2015 Feb.

Abstract

Management of atrophic non union of forearm bones is a challenging task. Various methods of treatment available in the literature are cortical tibial graft (Boyd), ulnar segment graft (Miller and Phalen), iliac crest graft (Spira), cancellous insert graft (Nicoll), vascularized fibular graft (Jupiter), and bone transport by ring fixator (Tesworth). We here report a case of infected non union of radius managed with modified Nicoll's method. Here, intra medullary nailing is preferred over plating which was originally described by Nicoll. At two years follow up, the patient is symptom free and is able to carry out his daily activities with ease.

Keywords: Iliac crest bone graft; Intra medullary fixation; Sequestrum.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
Radiological image showing infected non union of radius that was previously fixed with plating
[Table/Fig-2]:
[Table/Fig-2]:
External fixator applied to maintain length of the radius
[Table/Fig-3]:
[Table/Fig-3]:
Modified Nicoll’s method of management of infected gap union of radius
[Table/Fig-4]:
[Table/Fig-4]:
Infected segment of bone removed from radius
[Table/Fig-5]:
[Table/Fig-5]:
Depicts the length and width of graft used for reconstruction of the lost segment of the radius
[Table/Fig-6]:
[Table/Fig-6]:
Diagrammatic representation of how the graft was assembled over the nail to fill the gap between the radial fragments
[Table/Fig-7]:
[Table/Fig-7]:
Serial clinical images showing various stages of management of the patient
See this image and copyright information in PMC

References

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