case_images: PMC9826546_01
case_images: (a and b) Preoperative clinical images of the patient in forearm pronation.
case_images: JOCR-12-31-g001.jpg
case_images: PMC9826546_01_JOCR-12-31-g001.jpg
case_images: F1
case_images: A 14-year-old girl presented with gradually progressive deformity of the right forearm since the past 1 year associated with mild pain (Fig. 1, 2, 3).
case_images: (a and b) Pre-operative clinical images of the patient showing forearm in supination.
case_images: JOCR-12-31-g002.jpg
case_images: PMC9826546_01_JOCR-12-31-g002.jpg
case_images: F2
case_images: A 14-year-old girl presented with gradually progressive deformity of the right forearm since the past 1 year associated with mild pain (Fig. 1, 2, 3).
case_images: (a and b) Pre-operative clinical images of the patient showing forearm in mid-prone position.
case_images: JOCR-12-31-g003.jpg
case_images: PMC9826546_01_JOCR-12-31-g003.jpg
case_images: F3
case_images: A 14-year-old girl presented with gradually progressive deformity of the right forearm since the past 1 year associated with mild pain (Fig. 1, 2, 3).
case_images: (a and b) Skeletal radiograph (frontal and lateral views) showing an expansile lytic lesion with ground glass appearance involving the proximal meta-diaphysis of the right radius, with its resultant bowing.
case_images: JOCR-12-31-g004.jpg
case_images: PMC9826546_01_JOCR-12-31-g004.jpg
case_images: F4
case_images: Skeletal radiographs (frontal and lateral view) of the right forearm revealed an expansile lytic lesion with ground glass appearance involving the proximal meta-diaphysis of the right radius, with its resultant bowing (Fig. 4a, 4b).
case_images: (a and b) Intraoperative image showing the radius bone (Henry's approach).
case_images: JOCR-12-31-g005.jpg
case_images: PMC9826546_01_JOCR-12-31-g005.jpg
case_images: F5
case_images: The lesion in the radius was explored using the Henry's approach (Fig. 5a, 5b).
case_images: (a-c) Intraoperative images showing excised lesion (a and b) along with fibular cortical graft  .
case_images: JOCR-12-31-g006.jpg
case_images: PMC9826546_01_JOCR-12-31-g006.jpg
case_images: F6
case_images: The proximal three-fourth of the radius bone was exposed and the lesion was excised along with 1 cm of normal bone on the distal side (Fig. 6a, 6b). Fibular cortical strut graft was harvested from the leg of same side (Fig. 6c).
case_images: (a and b) Intraoperative images with fibular cortical graft jammed in the defect.
case_images: JOCR-12-31-g007.jpg
case_images: PMC9826546_01_JOCR-12-31-g007.jpg
case_images: F7
case_images: The graft was beveled on the distal end and jammed into the shaft of the distal radius such that 1 cm of graft was inside the original bone (Fig. 7a, 7b).
case_images: Immediate post-operative radiographs.
case_images: JOCR-12-31-g008.jpg
case_images: PMC9826546_01_JOCR-12-31-g008.jpg
case_images: F8
case_images: Immediate post-operative radiographs were obtained (Fig. 8) and a long arm or above elbow splint was applied keeping the elbow at 90 degrees of flexion and the forearm in supination for a total of 6 months.
case_images: Radiographs of the patient (7-month follow-up).
case_images: JOCR-12-31-g009.jpg
case_images: PMC9826546_01_JOCR-12-31-g009.jpg
case_images: F9
case_images: Follow-up radiographs (Fig. 9) obtained at 7 months revealed complete incorporation of the cortical bone graft with reformation of the intramedullary bone canal and restoration of hand and elbow function (Fig. 10a-c).