Two-stage surgical treatment for septic non-union of the forearm

Table 1 Patient and fracture data and treatment

Patient	Age (yr)	Bones involved	Open/closed	Initial treatment	Speciments	Time to infection resolution (wk)	Bone defect andintercalary graft size (cm)	Time to healing (mo)
1	27	Radius	Closed	Intramedullary rod	S. epidermidis	6	2.2	5
2	31	Ulna	Open	ORIF	S. aureus	4	1.8	4
3	41	Radius	Closed	ORIF	S. aureus	6	1.5	2
4	24	Ulna	Closed	ORIF	S. hominis + K. pneumoniae	8	2.0	4
5	19	Ulna	Closed	Intramedullary rod	S. epidermidis	6	1.8	3
6	42	Ulna	Closed	ORIF	P. aeruginosa	8	2.0	6
7	39	Ulna	Open	ORIF	S. aureus	6	1.6	3
8	34	Radius	Closed	ORIF	S. aureus1+ P. aeruginosa	20	2.2	4
9	45	Ulna	Closed	Intramedullary rod	S. aureus	8	1.7	3
10	25	Radius + Ulna	Open	ORIF + intram. rod	S. aureus + P. acnes	8	2.2	8
11	57	Ulna	Open	External fixator	S. aureus	10	4.0	7
12	38	Ulna	Closed	ORIF	S. epidermidis	6	1.8	4
13	20	Radius + Ulna	Open	External fixator	S. aureus	6	2.8	8
14	31	Ulna	Closed	Close reduction	S. aureus	10	2.0	4
15	52	Radius	Closed	ORIF	S. aureus	12	2.5	5
16	40	Ulna	Open	External fixator	S. epidermidis	6	5.0	10
17	22	Ulna	Closed	Intramedullary rod	S. aureus	6	1.8	4
18	34	Radius	Closed	ORIF	P. aeruginosa	12	2.5	6

¹Bacterial resistant strain, second debridement performed. ORIF: Open reduction and internal fixation.

Table 2 Results

Patient	Age (yr)	Follow-up (yr)	Anderson	ADLs limitations	Job limitations	VAS
1	27	6	Excellent	No	No	0
2	31	4	Satisfactory	No	No	0
3	41	8	Satisfactory	No	No	0
4	24	3	Satisfactory	Slight	Slight	1
5	19	10	Satisfactory	No	No	0
6	42	4	Satisfactory	Slight	Slight	2
7	39	10	Satisfactory	No	Slight	1
8	34	8	Excellent	No	No	0
9	45	4	Excellent	No	No	0
10	25	6	Satisfactory	No	Slight	2
11	57	4	Unsatisfactory	Severe	Severe	2
12	38	5	Excellent	No	No	0
13	20	8	Satisfactory	Slight	Slight	2
14	31	8	Satisfactory	No	No	0
15	52	2	Unsatisfactory	Severe	Severe	3
16	40	4	Unsatisfactory	Severe	Severe	3
17	22	6	Excellent	No	No	0
18	34	8	Satisfactory	No	Slight	1

VAS: Visual analog scale.