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  • Title: Management of massive defects in radius and ulna following wringer injury. A case report.
    Author: Akbarnia BA, Campbell CJ, Bowen JR.
    Journal: Clin Orthop Relat Res; 1976 May; (116):167-9. PubMed ID: 776480.
    Abstract:
    An unusual case of wringer injury in a 29-month-old child demonstrates extensive loss of the diaphysis of both the radius and ulna. Reconstruction consisted of cortico-cancellous autogenous tibial bone grafting of the radius and ulna in two stages. Follow-up of 24 years showed remodeling and good alignment of the entire radius and ulna, culminating in a good functional and cosmetic result. Extensive soft tissue damage and decreased blood supply result in bone necrosis. There is no reason to bone graft the radius and ulna at the same time.
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