Staged Extensor Reconstruction with Hunter Rods After Proximal Forearm Gunshot Injury: A Case Report.

Authors

Arya S Rao, Jonathan Lans, Ryoko Hamaguchi, Abhiram Bhashyam, Krystle R Tuaño

Published in

JBJS case connector. Volume 16. Issue 4. Oct 01, 2026. Epub Oct 23, 2026.

Abstract

A 16-year-old male patient sustained a high-velocity gunshot wound to the left proximal forearm with comminuted radius and ulna fractures, a 3 cm segmental radius defect, pan-extensor tendon disruption, and posterior interosseous nerve injury. Staged reconstruction included fibular strut allograft with intramedullary nailing, Hunter rod placement in the extensor compartments, and FCR/PL tendon transfers. At 1-year follow-up, the patient had active thumb and finger extension, intact sensation, no pain, and had returned to full activities.
Staged Hunter rod placement in the extensor compartments, combined with biologic radius reconstruction and tendon transfers, can enable functional recovery after severe ballistic forearm trauma.

PMID:
43007892
Bibliographic data and abstract were imported from PubMed on 11 Nov 2026.

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