Fig. 3. Case 3. (A) A 50-year-old man with distal one-third fractures of the left forearm bones. The ulna had an open and severely comminuted fracture. (B) The radius was stabilized by plating. The ulna was treated with excision of the contaminated bony fragment and debridement of the open wound, but it was not fixed. (C) Fracture of the ulnar shaft was treated using a plate and an auto-iliac bone graft and fracture of the ulnar styloid process was treated using tension band wiring after 4 weeks. (D) Union of fractures of the radius and ulna was confirmed at postoperative 26 weeks and 12 weeks, respectively. (E) The implant was removed at postoperative 18 months. No complication was noted until 6 months after removal of the implant.