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

Figure 1 Radiographic aspect of a both radius and ulna non-union in a 25-year-old man. A: Occurred after a Gustilo I open fracture undergone open reduction and internal fixation by plate and screws and intramedullary nailing; B: Once a septic non-union was diagnosed, removal of fixation devices and surgical debridement were performed and an external fixator was applied; C: Eight weeks after the surgical toilette the infection has resolved and thus new synthesis with plate, opposite strut and intercalary bone graft was performed; D: At follow-up both non-unions appear healed with noticeable remodelling of the bone graft.