Technical TrickTreatment of Isolated Ulnar Nonunions Using Wave Plate Osteosynthesis: A Report of Four CasesYoung, Jason P MD; Stover, Michael D MD; Magovern, Brian MDAuthor Information From the Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL. Accepted for publication April 15, 2009. Reprints: Michael D. Stover, MD, Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153 (e-mail: firstname.lastname@example.org). Journal of Orthopaedic Trauma: September 2009 - Volume 23 - Issue 8 - p 595-599 doi: 10.1097/BOT.0b013e3181aa28e8 Buy Metrics Abstract With current operative techniques, it is rare that treatment of diaphyseal forearm fractures results in nonunion. Because the rate of nonunion is low, there are only a few published articles that help guide management of forearm nonunions. We describe a new application of wave plate osteosynthesis in the treatment of isolated atrophic nonunions of the ulna. This biologic plating concept restores anatomic alignment without standard rigid fixation and aims to take advantage of the vascularity of the surrounding soft tissues to achieve union by secondary healing. This technique can be most useful in nonunions secondary to segmental bone defects or to large areas of nonviable bone. © 2009 Lippincott Williams & Wilkins, Inc.