Post-osteomyelitic-acquired radial club hand deformity in children treated by centralization of ulna

Meena, Dinesh Kumar

doi:10.1177/2309499017718950

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…Non‐unions can evolve into atrophic, and result in large bone defects, for the resolution of which various techniques have been described, such as the use of autologous bone graft, allograft and artificial bone materials (Massie et al., 2017; Munakata et al., 2018; Ragetly & Griffon, 2011). Centralisation is a procedure described in humans to treat congenital or traumatic radius defect, and consists in centralisation of the wrist on the distal ulna while maintaining functional wrist motion (Bayne & Klug, 1987; Meena, 2017; Moon et al., 2018; Wong‐Chung & Hariharan, 2000).…”

Section: Introductionmentioning

confidence: 99%

Successful centralisation technique for treatment of post‐traumatic absence of the radial shaft in a dog

Camilletti,

d'Amato

2024

J of Small Animal Practice

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This report describes a centralisation procedure for the treatment of a radial non‐union, characterised by extensive bone loss and an intact ulna, in an 18‐month‐old toy poodle. A lateral approach to the radius/ulna shafts was realised and, after debridement of the non‐union site, an ulnar osteotomy was performed proximal to the styloid process of the ulna. Transposition of the distal fragment of the radius to the distal end of the osteotomised proximal segment of the ulna was performed and the stabilisation was obtained using a locking plate with proximal screws in the ulnar shaft and distal screws in the radius epiphysis. The patient achieved bone union in 10 weeks and the last evaluation, performed 112 weeks postoperatively, showed a full return to pre‐injury function. Based on the results of this report, the centralisation was effective in the treatment of post‐traumatic absence of the radial shaft in a dog.

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Section: Introductionmentioning

confidence: 99%

Successful centralisation technique for treatment of post‐traumatic absence of the radial shaft in a dog

Camilletti,

d'Amato

2024

J of Small Animal Practice

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Post Infective Bone Gap Management of the Upper Extremity

Chaudhary¹,

Ranade

Fernandes

2022

Pediatric Musculoskeletal Infections

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Osteosynthesis of Postosteomyelitic Forearm Defects in Children Using a Modified Bone Grafting Technique: The Fibular Intramedullary Bridging Bone and Additional Grafting (FIBBAG)

Agarwal

Raj

Gupta

et al. 2020

J Hand Surg Asian-Pac Vol

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Background: There are many options to treat post osteomyelitic gaps in forearm bones. We report a pediatric series with postosteomyelitic forearm segmental defects reconstructed with fibular only graft: the non vascular fibular intramedullary bridging bone and additional grafting (FIBBAG) and the results thereof. Methods: Outcomes in 8 patients treated with fibular strut and overlay matchstick grafts were retrospectively assessed. The clinical results were expressed as forearm shortening, range of motion at elbow and wrist joint. The radiological evaluation included time to union, presence of fractures and recurrence of infection, if any. Results: The average patient age was 6 years (range, 3–12 years). The radius was involved in 6 and ulna in 2. Union occurred in all patients. The average intraoperative gap to be spanned was 5.86 cm (range, 3–14 cm). The average time for union was 6.63 months (range, 2–14 months). Two patients required additional bone grafting procedures. No graft fatigues/fractures were noted in available follow up. There was no recurrence of infection in any case. A positive ulnar variance was seen in 3 patients at follow up. Forearm shortening was a major cosmetic limitation following the procedure. Conclusions: Fibular strut and additional bone grafting (FIBBAG) is one of the viable options for reconstruction of post osteomyelitic forearm defects in children with low procedural complication rate.

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Post-osteomyelitic-acquired radial club hand deformity in children treated by centralization of ulna

Cited by 3 publications

References 12 publications

Successful centralisation technique for treatment of post‐traumatic absence of the radial shaft in a dog

Successful centralisation technique for treatment of post‐traumatic absence of the radial shaft in a dog

Post Infective Bone Gap Management of the Upper Extremity

Osteosynthesis of Postosteomyelitic Forearm Defects in Children Using a Modified Bone Grafting Technique: The Fibular Intramedullary Bridging Bone and Additional Grafting (FIBBAG)

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