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Congenital pseudarthrosis of the ulna is an extremely rare condition for which current surgical techniques have been unsatisfactory in restoring a normal two-bone forearm. We report a case which was treated by excision of the ulnar pseudarthrosis and interposition of a free vascularized fibular graft with a skin island to monitor anastomotic patency. Forearm rotation has been restored and the potential for normal forearm growth has been preserved.
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