case_images: PMC8046482_01
case_images: X-ray at initial injury.
case_images: JOCR-11-63-g001.jpg
case_images: PMC8046482_01_JOCR-11-63-g001.jpg
case_images: F1
case_images: Eight years ago, the patient fell from the horse back and sustained a closed bifocal fracture of the radius (radial shaft and distal radius) and a fracture of the ulnar shaft (Fig. 1), initially treated with open reduction and internal fixation (plates and screws for the forearm diaphyseal fractures and a palmar plate for the distal radius fracture) (Fig. 2).
case_images: Pre-operative X-ray as presented to us, before last procedure.
case_images: JOCR-11-63-g003.jpg
case_images: PMC8046482_01_JOCR-11-63-g003.jpg
case_images: F3
case_images: Elbow flexion was restricted to 20  and wrist range of motion was 20-0-20  (Fig. 3).
case_images: Post-operative X-ray.
case_images: JOCR-11-63-g004.jpg
case_images: PMC8046482_01_JOCR-11-63-g004.jpg
case_images: F4
case_images: Intraoperative cultures of soft tissues and bone were obtained to rule out infection (Fig. 4).
case_images: One-month post-operative X-ray.
case_images: JOCR-11-63-g005.jpg
case_images: PMC8046482_01_JOCR-11-63-g005.jpg
case_images: F5
case_images: The patient was followed up at 1, 2, 4, and 7 months and 1 year postoperatively with clinical evaluation and radiological examination (Fig. 5, 6).
case_images: One-year post-operative X-rays
case_images: JOCR-11-63-g006.jpg
case_images: PMC8046482_01_JOCR-11-63-g006.jpg
case_images: F6
case_images: The patient was followed up at 1, 2, 4, and 7 months and 1 year postoperatively with clinical evaluation and radiological examination (Fig. 5, 6).