Treatment of Infected Nonunion of Distal Radius with Concurrent Distal Radioulnar Joint Disruption: A Case Report

JBJS Case Connect. 2021 Nov 4;11(4). doi: 10.2106/JBJS.CC.21.00400.


Case: A 37-year-old farmer presented with previously operated open type 2 infected nonunion of distal radius. A wrist-spanning external fixator was applied after implant removal, debridement, and postoperative antibiotics for 6 weeks. At 6 weeks' follow-up, a volar locking plate and bone grafting for the gap nonunion over distal radius and the modified Sauve-Kapandji procedure for distal radioulnar joint (DRUJ) were performed. The patient had excellent results at 3 years' follow-up.

Conclusion: Distal radius nonunion with disrupted DRUJ can be treated with internal fixation, and the modified Sauve-Kapandji technique provided thorough debridement is performed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bone Plates
  • Fracture Fixation, Internal / methods
  • Humans
  • Radius Fractures* / surgery
  • Radius* / diagnostic imaging
  • Radius* / surgery
  • Wrist Joint / surgery